Individual
BENJAMIN GARY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3106 CANTON PIKE, HOPKINSVILLE, KY 42240-1316
(270) 962-4120
Mailing address
6560 PIERCE LN, HOPKINSVILLE, KY 42240-8577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016507
KY
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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