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Dr. Benjamin William Komistra, PHARMD,RPH
Pharmacist in Kenosha, Wisconsin
NPI 1538883848

Benjamin William Komistra is a Pharmacist based in Kenosha, WI. Benjamin William Komistra practices in Kenosha, WI and has the professional credentials of PHARMD,RPH. The NPI Number for Benjamin William Komistra is 1538883848 and holds a License No. 19339-40 (Wisconsin).

The current practice location address for Benjamin William Komistra is 4924 7Th Ave, Kenosha, WI and can be reached out via phone at 262-997-9573 and via fax at 262-997-9574. You can also correspond with Benjamin William Komistra through the mailing address at 4924 7TH AVE, KENOSHA, WI - 53140-3349 (mailing address contact number: 262-997-9573).

Location: 4924 7Th Ave, Kenosha, WI, 53140-3349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538883848
Provider Name
Benjamin William Komistra
Credential
PHARMD,RPH
Provider Entity Type
Individual
Gender
Male
Address
4924 7Th Ave, Kenosha, WI, 53140-3349
Phone Number
262-997-9573
Fax Number
262-997-9574
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4924 7Th Ave
City
Kenosha
State
Wisconsin
Zip
53140-3349
Phone Number
262-997-9573
Fax Number
262-997-9574
person
Provider Business Mailing Address Details
Address
4924 7Th Ave
City
Kenosha
State
Wisconsin
Zip
53140-3349
Phone Number
262-997-9573
Fax Number
262-997-9574
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
19339-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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