Provider Demographics
NPI:1265865182
Name:STEINMETZ, BENJAMIN KENT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:KENT
Last Name:STEINMETZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 ST LUKES DR
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-7912
Mailing Address - Country:US
Mailing Address - Phone:208-205-7394
Mailing Address - Fax:208-205-7568
Practice Address - Street 1:11660 W EXECUTIVE DR
Practice Address - Street 2:CORAM/CVS SPECIALTY INFUSION SERVICES
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713
Practice Address - Country:US
Practice Address - Phone:208-323-0303
Practice Address - Fax:208-375-3916
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist