Individual
CARLOS EDUARDO BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1605 S MARKET ST, KMART PHARMACY 3963, ELIZABETHTOWN, PA 17022-2852
(717) 361-8024
(717) 361-8002
Mailing address
2541 BAINBRIDGE RD, BAINBRIDGE, PA 17502-9712
(717) 361-9401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11731
MD
183500000X
Pharmacist
Primary
RP040463R
PA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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