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

BENTON DWIGHT, CLINICAL PHARMACIST

Active Sole Proprietor

BENTON DWIGHT, CLINICAL PHARMACIST is a Pharmacist Clinician (PhC) healthcare provider located in KIRTLAND AFB, New Mexico. NPI 1952561250 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · KIRTLAND AFB, NM

Registration Details

NPI Number
1952561250
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2008 (18.201389987018 yrs)
Last Updated
Dec 5, 2023
License
5490 (NM)
Sole Proprietor
Yes

Practice Information

Address
2050A 2ND ST SE
KIRTLAND AFB, NM, 871177274
Browse NM providers · Browse ZIP 87117
Phone
5058463200
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
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.