Individual
DR. BENJAMIN F FOMINYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D / MBA
Contact information
Practice address
8325 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-2125
(623) 245-7353
(623) 245-7347
Mailing address
16778 W APACHE ST, GOODYEAR, AZ 85338-7433
(702) 427-3000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020076
AZ
Other
Enumeration date
09/10/2014
Last updated
08/21/2015
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