Individual
MR. JOSHUA CHRISTOPHER BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
651 COLLIERS WAY, SUITE 204, WEIRTON, WV 26062-5053
(304) 723-6331
(304) 723-1131
Mailing address
4575 STATE ROUTE 151, MINGO JCT, OH 43938-7931
(304) 723-6331
(304) 723-1131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007156
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0007156
PHARMACY LICENSE
WV
Enumeration date
04/30/2011
Last updated
04/30/2011
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