Individual
ROBERT MARK BENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
4425 SW 21ST ST, OKLAHOMA CITY, OK 73108-1748
(800) 822-4607
(866) 283-1110
Mailing address
4425 SW 21ST ST, OKLAHOMA CITY, OK 73108-1748
(800) 822-4607
(866) 283-1110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10499
OK
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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