Mark Benedetti

NPI #1235739798 in Fairmont, West Virginia

Provider Information

NPI Number: 1235739798
Entity Type: Individual
Name: Mark Benedetti
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 32 TYGART MALL LOOP
City: Fairmont
State: West Virginia
ZIP Code: 26554-2187
Phone: (304) 366-9115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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