Individual
DR. STACEY WUTHRICH BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
631 LAKEVIEW BLVD, NEW BRAUNFELS, TX 78130-4077
(830) 627-0069
(830) 627-0093
Mailing address
631 LAKEVIEW BLVD, NEW BRAUNFELS, TX 78130-4077
(830) 627-0069
(830) 627-0093
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
33636
TX
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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