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General NPI Number Information
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NPI Number | 1831283233
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Entity Type | Organization
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Legal Business Name | BENHAM AND BENHAM INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 103 DYER ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3513
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Country | US
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Telephone | 870-425-1538
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Fax | 870-425-1541
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Provider Business Mailing Address
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Address Line | 103 DYER ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3513
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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 | OWNER PHARMACIST
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Name | DANNY BENHAM
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Credential | RPH
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Telephone | 870-425-1538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0420205
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License Number State | AR
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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 |
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License Number State |
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