Individual
BENJAMIN ANDREW BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EPHESIANS
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 366-1918
Mailing address
12228 BROOK FOREST CIR, PICKERINGTON, OH 43147-7914
(614) 861-2537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120563
OH
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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