Organization
BENTON DISCOUNT PHARMACY INC
Active
Other names
WESTERN KENTUCKY HOME MEDICAL EQPMT
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK DRIPPS (OPERATIONS MANAGER)
(270) 527-1521
Entity
Organization
Contact information
Practice address
2606 MAIN ST, BENTON, KY 42025
(270) 527-1521
(270) 527-2801
Mailing address
2606 MAIN ST, BENTON, KY 42025
(270) 527-1521
(270) 527-2801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070063
BLUE CROSS BLUE SHIELD
—
05
—
90010794
—
KY
Enumeration date
05/08/2006
Last updated
10/06/2021
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