Provider Demographics
NPI:1508165127
Name:BENCUYA, KAREN (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BENCUYA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NC HIGHWAY 801 N
Mailing Address - Street 2:
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-7944
Mailing Address - Country:US
Mailing Address - Phone:336-998-6434
Mailing Address - Fax:336-998-6494
Practice Address - Street 1:260 NC HIGHWAY 801 N
Practice Address - Street 2:
Practice Address - City:ADVANCE
Practice Address - State:NC
Practice Address - Zip Code:27006-7944
Practice Address - Country:US
Practice Address - Phone:336-998-6434
Practice Address - Fax:336-998-6494
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist