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Individual

DR. BENSON CHIONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8071
Mailing address
2197 NOLENSVILLE PIKE APT 230, NASHVILLE, TN 37211-2180
(630) 854-3132

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
37099
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37099
PHARMACIST LICENSE NUMBER
TN
Enumeration date
12/10/2021
Last updated
12/10/2021
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