Individual
JACK BENGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2560 QUARRY LAKE DR, BALTIMORE, MD 21209-3759
(410) 486-4966
(410) 486-0447
Mailing address
2560 QUARRY LAKE DR, BALTIMORE, MD 21209-3759
(410) 486-4966
(410) 486-0447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19266
MD
Other
Enumeration date
06/02/2011
Last updated
09/04/2020
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