Individual
BENJAMIN ANDREW SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
135 E UNION ST, NEWARK, NY 14513-1503
(315) 331-2181
(315) 331-3104
Mailing address
2660 COUNTY ROAD 20, CLIFTON SPRINGS, NY 14432-9354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058007
NY
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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