Individual
FRED BENCIVENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
3556 LAYER RD SW, WARREN, OH 44481-9191
(330) 898-2042
Mailing address
909 E MAIN ST, RAVENNA, OH 44266-3325
(330) 296-7115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03219433
OH
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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