Provider Demographics
NPI:1861258501
Name:BENJAMIN, KENDALL EMANUELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:EMANUELLE
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5242 CLAIRTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2711
Mailing Address - Country:US
Mailing Address - Phone:412-885-5864
Mailing Address - Fax:412-885-9298
Practice Address - Street 1:5242 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2711
Practice Address - Country:US
Practice Address - Phone:412-885-5864
Practice Address - Fax:412-885-9298
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist