Organization
BENTON DISCOUNT PHARMACY INC
Active
Parent organization
BENTON DISCOUNT PHARMACY
Other names
WESTERN KENTUCKY HOME MEDICAL EQPMT
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENTON DISCOUNT PHARMACY
Authorized official
MR. KIRK DRIPPS (PHARMACY MGR)
(270) 527-1521
Entity
Organization
Contact information
Practice address
2606 MAIN ST, BENTON, KY 42025
(270) 527-1521
(270) 527-2801
Mailing address
2606 MAIN ST, BENTON, KY 42025
(270) 527-1521
(270) 527-2801
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0278
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90010794
—
KY
Enumeration date
01/29/2008
Last updated
10/06/2021
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