Individual
MRS. AMY LYNNE BENINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
829 W MAIN ST, GAYLORD, MI 49735-1998
(989) 732-4114
(989) 731-3212
Mailing address
829 W MAIN ST, PO BOX 399, GAYLORD, MI 49735-1998
(989) 732-4114
(989) 731-3212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302028374
PHARMACIST STATE LISCENCE
MI
Enumeration date
09/29/2011
Last updated
09/29/2011
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