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NPI Code Detail

MEDICARE: DR. SCOT BENNER PHARM.D.

MEDICARE: DR. SCOT BENNER PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS011676AZ

General Provider Information

NPI Number : 1124441589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOT BENNER PHARM.D.
Provider Business Mailing Address
First Line : 15215 N COTTON LN
Second Line :
City : SURPRISE
State : AZ
Zip : 85388-9607
Country : US
Telephone Number : 623-455-7902
Fax Number :
Provider Business Practice Location Address
First Line : 15215 N COTTON LN
Second Line :
City : SURPRISE
State : AZ
Zip : 85388-9607
Country : US
Telephone Number : 623-455-7902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2014
Last Update Date : 11/13/2016

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Directions to “ DR. SCOT BENNER PHARM.D.” Practice Location

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