Dr. Benito Valdepenas III, PharmD
Pharmacist in Chicago, IL. Individual provider (NPI-1).
NPI number1235694530
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1235694530
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benito Valdepenas III
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051301569 | IL | Yes |
Practice location
1855 W Taylor StChicago, IL 60612-7242
Phone 312-996-2174
Mailing address
1855 W Taylor StChicago, IL 60612-7242
Phone 312-996-2174
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