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DR. ANTHONY RAY BENTON PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1508456971

Individual Registrant:
DR. ANTHONY RAY BENTON PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
816 GORDON AVE  THOMASVILLE, GA 31792-6611 US
Tel: 229-226-4201  Fax: 229-226-4206

Contact information for business:
PO BOX 350  THOMASVILLE, GA 31799-0350 US
Tel: 229-226-4201  Fax: 229-226-4206

Registration Information:
NPI: 1508456971
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH030142

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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