Individual
BENJAMIN H WHITESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 MIDDLE RD, FULTON, KY 42041-7905
(270) 472-9802
Mailing address
305 PARK AVE, FULTON, KY 42041-1516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016028
KY
183500000X
Pharmacist
39258
TN
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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