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NPI Code Detail

MEDICARE: KIMBERLY LYNN BENTZONI PHARM.D.

MEDICARE:   KIMBERLY LYNN BENTZONI  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist056844NY
2183500000XPharmacist25564NC

General Provider Information

NPI Number : 1861748923
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LYNN BENTZONI PHARM.D.
Provider Business Mailing Address
First Line : 115 W ARROWOOD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-5003
Country : US
Telephone Number : 704-523-6551
Fax Number :
Provider Business Practice Location Address
First Line : 115 W ARROWOOD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-5003
Country : US
Telephone Number : 704-523-6551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2012
Last Update Date : 10/16/2023

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Directions to “ KIMBERLY LYNN BENTZONI PHARM.D.” Practice Location

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