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General NPI Number Information
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NPI Number | 1801766340
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Entity Type | Organization
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Legal Business Name | BENRX LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 210 E STATE RD
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City | FAIRVIEW
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State | OK
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Zip | 73737-1326
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Country | US
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Telephone | 580-227-2045
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Fax |
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Provider Business Mailing Address
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Address Line | 49169 S COUNTY ROAD 265
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City | RINGWOOD
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State | OK
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Zip | 73768-4926
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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 | CO-OWNER
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Name | JESSICA BENHAM
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Credential | PHARM D
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Telephone | 918-704-5955
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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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