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Individual

BENSON BENNY JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
410 W ROCHELLE RD, IRVING, TX 75062-5616
(972) 258-6015
(972) 570-5886
Mailing address
410 W ROCHELLE RD, IRVING, TX 75062-5616
(972) 258-6015
(972) 570-5886

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65465
TX

Other

Enumeration date
12/02/2020
Last updated
12/02/2020
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