Organization
BENTON DISCOUNT PHARMACY (EPSDT)
Active
Parent organization
BENTON DISCOUNT PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENTON DISCOUNT PHARMACY
Authorized official
MORGAN BECK RPH (PHARMACIST/PHARMACY MGR)
(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
3336S0011X
Specialty Pharmacy
Primary
P01049
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54013990
—
KY
Enumeration date
01/23/2008
Last updated
10/06/2021
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