RAE LYNN BENTON

CUMMING, GA
NPI1841282472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH014641)
Enumeration Date2005-08-19
Last Update Date2007-07-08
Business Address
-- RAE LYNN BENTON RPH
1200 NORTHSIDE FORSYTH DR NORTHSIDE HOSPITAL FORSYTH PHARMACY
CUMMING, GA 30041-7659
Phone number: 770-844-3291
Mailing Address
-- RAE LYNN BENTON RPH
120 RIVERCREST LN
SUWANEE, GA 30024-5439
Phone number: