Individual
DR. GRANT RAYMOND BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
167 MAIN ST, TUBA CITY, AZ 86045
(928) 283-2754
Mailing address
PO BOX 787, TUBA CITY, AZ 86045-0787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP440080
PA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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