Individual
BENJAMIN KIRBY DIAMADUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1598
(608) 324-1242
Mailing address
515 22ND AVE, MONROE, WI 53566-1598
(704) 763-3177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19619-40
WI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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