Individual
MR. DAVID THOMAS BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
501 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4219
(281) 316-4926
(281) 316-4991
Mailing address
2307 HAVERHILL DR, HOUSTON, TX 77008-3028
(713) 861-6996
(281) 316-4926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31550
TX
183500000X
Pharmacist
RP31661L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31550
TEXAS PHARMACY LICENSE
TX
01
—
RP031661L
PENNSYLVANIA PHARMACY LIC
PA
Enumeration date
12/06/2006
Last updated
07/08/2007
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