| Doctor Name: | MR. PETER DEMETRIS BENARDIS |
| NPI Number: | 1073684346 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARM.D. |
| License Number: | RPH 49691 |
| Business Practice Address: | 25825 Vermont Ave Harbor City, CA - 907103518 |
| Business Phone Number: | 3105173531 |
| Business Fax Number: | 3105174050 |
| Mailing Address: | 225 W 3rd St Apt 402, LONG BEACH |
| State: | CA |
| Postal Code: | 908023050 |
| Phone Number: | 5627261214 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835X0200X |
| License Number: | RPH 49691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |