Individual
MR. BENJAMIN RICHARD CRENSHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
780 CAMBRIDGE PLZ, CAMBRIDGE, MD 21613-2531
(410) 228-7608
(410) 228-7329
Mailing address
9590 QUAIL RUN RD, DENTON, MD 21629-1733
(410) 228-7608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16138
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16138
PHARMACY LICENSE #
MD
Enumeration date
02/11/2008
Last updated
02/11/2008
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