Healthcare Provider Details

I. General information

NPI: 1922356104
Provider Name (Legal Business Name): BENJAMIN T HOBSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 CENTER ST
ASHLAND OH
44805-4011
US

IV. Provider business mailing address

1025 CENTER ST
ASHLAND OH
44805-4011
US

V. Phone/Fax

Practice location:
  • Phone: 419-207-2259
  • Fax:
Mailing address:
  • Phone: 419-207-2259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03132293
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: