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Contact Information

BENTON DWIGHT, CLINICAL PHARMACIST
2050A 2ND ST SE
KIRTLAND AFB, NM87117-7274
 Phone: 505-846-3200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

1835P0018X
Indicates primary specialty

NPI Profile & details for BENTON DWIGHT · (Male)

NPI # 1952561250
Status Active
Credentials CLINICAL PHARMACIST
Entity Individual
Enumeration date 06/11/2008
Last updated 12/05/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 5490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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