Provider Demographics
NPI:1396941886
Name:BENFIELD, MONICA SPARKS (RPH)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:SPARKS
Last Name:BENFIELD
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 1:1007 NC HIGHWAY 150 W STE E
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-7925
Mailing Address - Country:US
Mailing Address - Phone:336-643-2550
Mailing Address - Fax:336-643-2115
Practice Address - Street 1:1007 NC HIGHWAY 150 W STE E
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-7925
Practice Address - Country:US
Practice Address - Phone:336-643-2550
Practice Address - Fax:336-643-2115
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12422183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist