Individual
DR. DERRICK M BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
36301 EAST LAKE RD, PALM HARBOR, FL 34684
(727) 785-8837
(727) 786-1547
Mailing address
36601 EAST LAKE RD, PALM HARBOR, FL 34684
(727) 785-8837
(727) 786-1547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47603
FL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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