Most Relevant Information
Provider Data
| NPI Number: | 1003337932 |
| Provider Name: | BENJAMIN H FIEVISOHN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 060512 |
Most Important Dates
| Enumeration Date: | 06/30/2017 |
| Last Updated: | 06/30/2017 |
Provider Practice Location
85 ROBINSON AT
RITE AID PHARMACY
BINGHAMTON
NY
13901
Practice Location Phone/Fax
| Phone: | 6077224221 |
| Fax: |
Provider Mailing Location
705 TORRANCE AVE
VESTAL
NY
138501338
Provider Mailing Phone/Fax
| Phone: | 5185780403 |
| Fax: |