MEDICARE: JASON ROBERT BENDER 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	183500000X	Pharmacist	27614	MD

General Provider Information

NPI Number	:	1396344008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON ROBERT BENDER PHARMD

Provider Business Mailing Address
First Line	:	546 COUNTRY RIDGE CIR
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21015-8533
Country	:	US
Telephone Number	:	410-652-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	1519 ROCK SPRING RD
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2833
Country	:	US
Telephone Number	:	410-638-8757
Fax Number	:

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

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	10/22/2020

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