Individual
MR. BENJAMIN THOMAS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHC
Contact information
Practice address
8225 4TH ST NW, LOS RANCHOS, NM 87114
(505) 717-2342
(505) 492-2549
Mailing address
8225 4TH ST NW, LOS RANCHOS, NM 87114-1014
(505) 717-2342
(505) 492-2549
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000204
NM
Other
Enumeration date
01/10/2013
Last updated
07/24/2019
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