Healthcare Provider Details

I. General information

NPI: 1992226815
Provider Name (Legal Business Name): BENEDICTA OSEI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 ROGER BROOKE DRIVE BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON TX
78234-6200
US

IV. Provider business mailing address

BROOKE ARMY MEDICAL CENTER 1179 SCHOFIELD DR 1-300
FORT SAM HOUSTON TX
78234-6200
US

V. Phone/Fax

Practice location:
  • Phone: 210-808-3551
  • Fax:
Mailing address:
  • Phone: 210-808-3551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number42931
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: