Organization
BEN-RAY INC DBA PROVIDERX
Active
Parent organization
BEN-RAY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEN-RAY INC
Authorized official
BENTLEY FRED HAWLEY RPH (PRESIDENT)
(432) 337-2361
Entity
Organization
Contact information
Practice address
2208 N LOOP 250 W # 101, MIDLAND, TX 79707-6011
(432) 689-3355
Mailing address
2208 N LOOP 250 W # 101, MIDLAND, TX 79707-6011
(432) 689-3355
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
27702
TX
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27702
STATE LICENSE
TX
Enumeration date
10/22/2011
Last updated
12/21/2018
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