Individual provider · NPI-1

Marcel E Benjamin

Pharmacist · Costa Mesa, CA

NPI number1831390541
StatusActive
Last updated in NPPESJun 21, 2024

Details

NPI
1831390541
Entity type
Individual (NPI-1)
Name
Marcel E Benjamin
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2007
Certification date
Jun 21, 2024
Last updated
Jun 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistaph11442CAYes

Other names

  • Marcel Hanna (Other Name)

Practice location

1525 Mesa Verde Dr E Ste 101
Costa Mesa, CA 92626-5221

Phone 714-904-6069

Mailing address

2845 Ver Cruz Street
Corona, CA 92882

Phone 951-317-8661

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