Individual
BENJAMIN CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3250 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4077
(614) 735-3290
Mailing address
3250 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4077
(719) 866-6646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019222
KY
183500000X
Pharmacist
03132149
OH
183500000X
Pharmacist
Primary
PHA.0023266
CO
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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