MEDICARE: DR. TERENCE GERALD BENSON JR. 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	11935	NE
2	183500000X	Pharmacist	48068	TX

General Provider Information

NPI Number	:	1427041979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERENCE GERALD BENSON JR. PHARMD

Provider Business Mailing Address
First Line	:	2200 BERGQUIST DR STE 1
Second Line	:
City	:	LACKLAND AFB
State	:	TX
Zip	:	78236-9908
Country	:	US
Telephone Number	:	210-916-3608
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 BERGQUIST DR STE 1
Second Line	:
City	:	LACKLAND AFB
State	:	TX
Zip	:	78236-9908
Country	:	US
Telephone Number	:	210-292-4645
Fax Number	:

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	12/31/2013

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Directions to “ DR. TERENCE GERALD BENSON JR. PHARMD” Practice Location

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