Benton Lo

NPI 1295019099 - Pharmacist - 183500000X

NPI Details
NPI 1295019099
Gender Male
Enumeration Date 09/29/2011
Last Updated 09/29/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
3098 G ST
MERCED CA, 95340-2137, US
Phone (209) 385-3424
Fax (209) 385-3630
Business Location
3098 G ST
MERCED CA, 95340-2137, US
Taxonomy Code 183500000X
License State California
License Number 64711
Remove 1295019099 NPI Number

According to our database, Benton Lo NPI is 1295019099, taxonomy code is 183500000X and license number is 64711, license state is located at California. Benton Lo physically located at 3098 G St, Merced CA, 95340-2137. NPI Number Benton Lo has the Individual type.

1295019099 NPI number is provided on an as is basis without warranty of any kind. 1295019099 is maintained by the National Plan & Provider Enumeration System. The contents of Benton Lo are for informational purposes only.