Provider Demographics
NPI:1275136871
Name:BENSINGER, TAWNYA (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAWNYA
Middle Name:
Last Name:BENSINGER
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 1:8049 FM 2673
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-6429
Mailing Address - Country:US
Mailing Address - Phone:830-930-7900
Mailing Address - Fax:
Practice Address - Street 1:8049 FM 2673
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:TX
Practice Address - Zip Code:78133-6429
Practice Address - Country:US
Practice Address - Phone:830-930-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66651183500000X
PARP445895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty