Provider Demographics
NPI:1437261062
Name:WHITE-BENSON, SNO (RPH, PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SNO
Middle Name:
Last Name:WHITE-BENSON
Suffix:
Gender:F
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18189 E 900TH RD
Mailing Address - Street 2:
Mailing Address - City:HUMANSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65674-8038
Mailing Address - Country:US
Mailing Address - Phone:417-276-5921
Mailing Address - Fax:
Practice Address - Street 1:1100 S. SPRINGFIELD SUITE A
Practice Address - Street 2:SUITE 1
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-0158
Practice Address - Country:US
Practice Address - Phone:417-326-2570
Practice Address - Fax:417-777-5057
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO042703183500000X
KS11140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist