Provider Demographics
NPI:1669754461
Name:BENINATI, ALICIA (PHARM D)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:BENINATI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 POST RD E
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5608
Mailing Address - Country:US
Mailing Address - Phone:203-259-7837
Mailing Address - Fax:203-259-7068
Practice Address - Street 1:1870 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5608
Practice Address - Country:US
Practice Address - Phone:203-259-7837
Practice Address - Fax:203-259-7068
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist