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DR. ANTHONY RAY BENTON PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1508456971
Individual Registrant:DR. ANTHONY RAY BENTON PHARMD
Gender: M
Not Sole Proprietor
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
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
Tel: 229-226-4201 Fax: 229-226-4206
Registration Information:
NPI: 1508456971
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH030142 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
