Provider Demographics
NPI:1437515236
Name:BENEDETTI, ELIZABETH CLARK (PHARMD, CPP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CLARK
Last Name:BENEDETTI
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3089
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-5223
Mailing Address - Country:US
Mailing Address - Phone:919-613-2000
Mailing Address - Fax:
Practice Address - Street 1:30 DUKE MEDICINE CIR
Practice Address - Street 2:CLINIC 2F/2G
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-5223
Practice Address - Country:US
Practice Address - Phone:919-613-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0070004951835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMB3687716OtherDEA