Individual
CLAIRE JEAN BENVEGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
455 S 500 E, SALT LAKE CITY, UT 84102-2753
(801) 328-6033
(801) 328-6027
Mailing address
1045 E WESLEY RD, SALT LAKE CITY, UT 84117-6621
(801) 573-1323
(801) 328-6027
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
148702-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148702-1701
UTAH PHARMACY LICENSE #
UT
Enumeration date
09/29/2019
Last updated
09/29/2019
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