| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZACKERY T BENNER | 1063001782 | 2021-01-16 |
Zackery T Benner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063001782. Registration indicates Zackery T Benner is a provider of services with a specialization in Pharmacy Service Providers, Pharmacy Technician (Pharmacy Technician, ) (Pharmacy Technician, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Zackery T Benner CPHT |
| Practice Office Address | 801 N LOYALSOCK AVE MONTOURSVILLE, PA US |
| Practice Office Telephone | 5703685599 |
| Mailing Address | 3815 MUSSER LN MUNCY, PA 177565627 US |
| Business Telephone | 5704285116 |
| Code | Practice | License No State |
|---|---|---|
| 183700000X PRIMARY | Pharmacy Service Providers Pharmacy Technician Pharmacy Technician Pharmacy Technician Pharmacy Service Providers | 30133157
PA |