Organization
BENTON DISCOUNT PHARMACY INC
Active
Other names
DRAFFENVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN BECK RPH (PHARMACIST)
(270) 527-1404
Entity
Organization
Contact information
Practice address
153 US HIGHWAY 68 E, BENTON, KY 42025-7123
(270) 527-1404
Mailing address
153 US HIGHWAY 68 E, BENTON, KY 42025-7123
(270) 527-1404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P02124
KY
3336C0003X
Community/Retail Pharmacy
Primary
P02124
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54023569
—
KY
01
—
K165180
MASS IMMUNIZATION
KY
Enumeration date
08/03/2006
Last updated
12/19/2023
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