Individual
BENJAMIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2075 S HAIRSTON RD, DECATUR, GA 30035-2504
(770) 322-6557
(770) 322-8775
Mailing address
2075 S HAIRSTON RD, DECATUR, GA 30035-2504
(770) 322-6557
(770) 322-8775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023446
GA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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