Individual
MRS. STEPHANIE BENADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 NE D ST, RITE AID PHARMACY STORE # 5386, GRANTS PASS, OR 97526-2320
(541) 479-3358
Mailing address
1570 HIGHCREST DR, MEDFORD, OR 97504-9316
(541) 779-7455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013414
OR
Other
Enumeration date
11/02/2011
Last updated
12/06/2012
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