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NPI Code Detail

MEDICARE: BENSON NINAN PHARM D

MEDICARE: BENSON NINAN 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
1183500000XPharmacistRP447161PA

General Provider Information

NPI Number : 1598101149
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENSON NINAN PHARM D
Provider Business Mailing Address
First Line : 9992 GARDENIA LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2545 ARAMINGO AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-3728
Country : US
Telephone Number : 215-424-2361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/21/2013

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Directions to “ BENSON NINAN PHARM D” Practice Location

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