Provider Demographics
NPI:1518193804
Name:BENSON, GINA MARGARET (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:MARGARET
Last Name:BENSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HIGHWAY 16 S
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8905
Mailing Address - Country:US
Mailing Address - Phone:704-489-9985
Mailing Address - Fax:
Practice Address - Street 1:108 HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-8905
Practice Address - Country:US
Practice Address - Phone:704-820-3933
Practice Address - Fax:704-820-3967
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist