Individual
MICAH BENFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1860 OUTER LOOP STE 348, LOUISVILLE, KY 40219-3429
(605) 978-3967
Mailing address
423 TRINITY HILLS LN, LOUISVILLE, KY 40207-2132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014938
KY
Other
Enumeration date
09/09/2019
Last updated
07/02/2020
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