Individual
BRIAN MICHAEL DEBENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
5201 N BELT HWY STE H, SAINT JOSEPH, MO 64506-1297
(816) 671-0822
(816) 385-5325
Mailing address
5201 N BELT HWY STE H, SAINT JOSEPH, MO 64506-1297
(816) 671-0822
(816) 385-5325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017026904
MO
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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