John Duane Benz, RPH, MBA

Individual provider Active NPI Pharmacist · Fort Leavenworth, KS

NPI 1497415111 · NPPES record last updated Dec 21, 2021

Key facts

NPI
1497415111
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
15640 (IA)
Practice address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone
(913) 684-6069
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15640IAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15640 IA Yes

Addresses

Primary practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6069

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL N/A

Other providers in Fort Leavenworth, KS

All providers in Fort Leavenworth, KS · Pharmacist in Kansas

Sources for this page

Verify at the official NPI Registry.