Most Relevant Information
Provider Data
| NPI Number: | 1003026360 |
| Provider Name: | SHELLEY GRACE BENSON R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 1835X0200X |
| Specialty: | Pharmacist |
| License Number: | 3177 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1 MEDICAL CENTER DR
LEBANON
NH
037561000
Practice Location Phone/Fax
| Phone: | 6036505417 |
| Fax: |
Provider Mailing Location
667 RIDGE RD
RANDOLPH CENTER
VT
050619748
Provider Mailing Phone/Fax
| Phone: | 8027286382 |
| Fax: |