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General NPI Number Information
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NPI Number | 1003995770
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Entity Type | Organization
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Legal Business Name | BENSON PHARMACY INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 11380 66TH ST SUITE 138
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City | LARGO
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State | FL
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Zip | 33773-5531
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Country | US
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Telephone | 727-548-7777
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Fax | 727-545-1111
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Provider Business Mailing Address
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Address Line | 11380 66TH ST SUITE 138
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City | LARGO
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State | FL
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Zip | 33773-5531
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENITO BELEN
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Credential |
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Telephone | 727-548-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH22167
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License Number State | FL
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