Healthcare Provider Details

I. General information

NPI: 1619739687
Provider Name (Legal Business Name): CHLOE ANNE BENEDICT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8105 VETERANS WAY
MONTGOMERY AL
36117-3879
US

IV. Provider business mailing address

819 DOGWOOD DR
LAFAYETTE AL
36862-2518
US

V. Phone/Fax

Practice location:
  • Phone: 833-844-0928
  • Fax:
Mailing address:
  • Phone: 205-567-6803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24705
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: