Healthcare Provider Details

I. General information

NPI: 1487376224
Provider Name (Legal Business Name): BENJAMIN WESLEY HUFF PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 TOWN AND COUNTRY LN
HAZARD KY
41701-9524
US

IV. Provider business mailing address

310 DOCTORS ROW
CHAVIES KY
41727-8954
US

V. Phone/Fax

Practice location:
  • Phone: 606-435-0460
  • Fax: 606-435-0461
Mailing address:
  • Phone: 606-216-1960
  • Fax: 606-506-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number020963
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: