Provider Demographics
NPI:1821436767
Name:BENESH, BETH ANGELA (RPH)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANGELA
Last Name:BENESH
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 1:909 WILLSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-2214
Mailing Address - Country:US
Mailing Address - Phone:515-832-4137
Mailing Address - Fax:515-832-3968
Practice Address - Street 1:1410 6TH AVE S STE 200
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-2606
Practice Address - Country:US
Practice Address - Phone:641-231-8900
Practice Address - Fax:641-231-8910
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4418183500000X
MN115336183500000X
FLPS63803183500000X
IA19942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist