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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BENJAMIN WILLIAM KOMISTRA, PHARMD, RPH

Active Sole Proprietor

DR. BENJAMIN WILLIAM KOMISTRA, PHARMD, RPH is a Pharmacist healthcare provider located in KENOSHA, Wisconsin. NPI 1538883848 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · KENOSHA, WI

Registration Details

NPI Number
1538883848
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2022 (3.8478852355206 yrs)
Last Updated
Sep 29, 2022
License
19339-40 (WI)
Sole Proprietor
Yes

Practice Information

Address
4924 7TH AVE
KENOSHA, WI, 531403349
Browse WI providers · Browse ZIP 53140
Phone
2629979573
Fax
2629979574
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in KENOSHA, WI

Name Credential NPI
MICHELLE M PERANTONI PHARM.D 1285720649
ERIN MERRITT PHARMD 1164654695
MRS. YELENA IVANOVA 1265754485
MRS. MICHELLE RENEE CLEMENTS RPH 1669794889
KAITLIN ZARLETTI PHARMD 1215219043
TARA LYN ZERZANEK PHARMD 1467737197
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.