Individual
MRS. MARIA THOMAS BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51400 GRATIOT AVE, CHESTERFIELD, MI 48051-2007
(586) 598-4770
Mailing address
51400 GRATIOT AVE, CHESTERFIELD, MI 48051-2007
(586) 598-4770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302045425
MI
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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