Organization
BENSON DRUG COMPANY INC.
Active
Other names
Benson Drug Company Inc.-Sav-Mor #17
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH BENSON DAHLQUIST R.PH. (PRESIDENT)
(231) 722-2861
Entity
Organization
Contact information
Practice address
961 SPRING ST, MUSKEGON, MI 49442-3278
(231) 722-2861
(231) 726-5522
Mailing address
961 SPRING ST, MUSKEGON, MI 49442-3278
(231) 722-2861
(231) 726-5522
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
5301000892
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649519
—
MI
01
—
2310009
OTHER ID NUMBER
—
05
—
2310009
—
MI
Enumeration date
08/27/2006
Last updated
08/02/2019
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