MEDICARE: JANELLA RIANNA NOLASCO BENITEZ PHARMD

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
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1275467920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLA RIANNA NOLASCO BENITEZ PHARMD

Provider Business Mailing Address
First Line	:	209 BRANCH BROOK CT
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-5947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 BRANCH BROOK CT
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-5947
Country	:	US
Telephone Number	:	443-739-3939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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