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 5 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
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 64711
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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.

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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.