NPI 1003190992

Benita Bock

Practitioner Pharmacist Greeley, CO

Practice location

Address: 3700 W 10th St, Greeley, CO 80634-1819
Phone: (970) 475-0192
Mailing address: 130 53rd Avenue CT, Greeley, CO 80634-4209

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PHA-11354 (CO)

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Registry record

NPI: 1003190992
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2011
Record last updated: 11 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.