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General NPI Number Information
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NPI Number | 1578727137
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Entity Type | Organization
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Legal Business Name | BENBROOK PHARMACY, LLC
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 100 TECHNOLOGY DRIVE SUITE 1
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City | BUTLER
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State | PA
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Zip | 16001
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Country | US
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Telephone | 724-482-6400
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Fax | 724-482-6401
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Provider Business Mailing Address
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Address Line | 100 TECHNOLOGY DRIVE SUITE 1
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City | BUTLER
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State | PA
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Zip | 16001
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Country | US
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Telephone | 724-482-6400
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Fax | 724-482-6401
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Authorized Official
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Title or Position | PARTNER
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Name | RICHARD RITENOUR
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Credential |
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Telephone | 724-482-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481842
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License Number State | PA
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