Individual
DIANE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(832) 264-8899
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30676
TX
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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