Individual
JOE BENTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3631 CENTRAL AVE, HOT SPRINGS, AR 71913-6404
(501) 623-4377
Mailing address
801 DUSTY TRL, BENTON, AR 72019-8731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11582
AR
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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