Organization
BENTON DISCOUNT PHARMACY INC
Active
Other names
BENTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN BECK (PHARMACIST)
(270) 527-1409
Entity
Organization
Contact information
Practice address
2606 MAIN ST, BENTON, KY 42025-1819
(270) 527-1409
(270) 527-2801
Mailing address
2606 MAIN ST, BENTON, KY 42025-1819
(270) 527-1409
(270) 527-2801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01049
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029214
PK
—
05
—
54013990
—
KY
05
—
90010794
—
KY
Enumeration date
02/27/2007
Last updated
10/06/2021
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