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Individual

REBECCA DANIELLE JOY BENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1001 N 4TH ST, COEUR D ALENE, ID 83814-3113
(208) 667-3860
(208) 664-1659
Mailing address
13306 N ZODIAC LOOP, RATHDRUM, ID 83858-6066
(509) 413-6773

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10722
ID
183500000X
Pharmacist
PH61446397
WA

Other

Enumeration date
07/10/2023
Last updated
04/21/2025
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