Individual
LINDA SUE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5588
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111509
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410745522
FEDERAL TAX ID
MN
Enumeration date
05/02/2008
Last updated
05/02/2008
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