Provider Demographics
NPI:1417228248
Name:BENYARD, NGOZI-KA D (PHARMD, AAHIVP)
Entity Type:Individual
Prefix:MRS
First Name:NGOZI-KA
Middle Name:D
Last Name:BENYARD
Suffix:
Gender:F
Credentials:PHARMD, AAHIVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27339 SORA BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-3468
Mailing Address - Country:US
Mailing Address - Phone:813-239-7234
Mailing Address - Fax:813-991-6484
Practice Address - Street 1:27339 SORA BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-3468
Practice Address - Country:US
Practice Address - Phone:813-239-7234
Practice Address - Fax:813-991-6484
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist