Individual
BENTON WOLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6260 W MCGALLIARD RD, MUNCIE, IN 47304-9413
(765) 281-7810
Mailing address
6260 W MCGALLIARD RD, MUNCIE, IN 47304-9413
(765) 281-7810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029799A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26029799A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
07/21/2022
Last updated
07/21/2022
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