IndividualActive
Benton Dwight, CLINICAL PHARMACIST
NPI 1952561250 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Kirtland Afb, NM
Provider details
- NPI number
- 1952561250
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- CLINICAL PHARMACIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5490 (NM)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-7274
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
2050a 2nd St Se
Kirtland Afb, NM 87117-5901
Registry dates
- Enumerated
- 2008-06-11
- Last updated
- 2023-12-05
- Certified
- 2023-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.