Individual provider · NPI-1

Dr. Olivia Santoso Bentley, Pharm.D.

Pharmacist · Charlotte, NC

NPI number1558772434
StatusActive
Last updated in NPPESDec 24, 2015

Details

NPI
1558772434
Entity type
Individual (NPI-1)
Name
Dr. Olivia Santoso Bentley
Credential
Pharm.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 14, 2014
Last updated
Dec 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist22881NCYes
183500000X Pharmacist026916GA
225000000X Orthotic Fitter1722–

Other names

  • Olivia Regina Santoso (Former Name)

Practice location

7308 E Independence Blvd Ste I
Charlotte, NC 28227-9440

Phone 704-537-0909 · Fax 704-537-0947

Mailing address

7308 E Independence Blvd Ste I
Charlotte, NC 28227-9440

Phone 704-537-0909 · Fax 704-537-0947

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