Individual
EMILY BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 LOCUST ST, PHILADELPHIA, PA 19107-5519
(215) 629-5690
Mailing address
1101 LOCUST ST, PHILADELPHIA, PA 19107-5519
(215) 629-5690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP457966
PA
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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