Individual
AMBER KRISTIN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 NE 3RD ST, SUITE 111, BEND, OR 97701-3854
(541) 389-1717
Mailing address
1900 NE 3RD ST, SUITE 111, BEND, OR 97701-3854
(541) 389-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013266
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0013266
PHARMACIST
OR
Enumeration date
10/28/2009
Last updated
08/27/2013
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