Healthcare Provider Details

I. General information

NPI: 1144612433
Provider Name (Legal Business Name): BENJAMIN KING PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2015
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 STATE ROUTE 741
MASON OH
45040-2337
US

IV. Provider business mailing address

5210 STATE ROUTE 741
MASON OH
45040-2337
US

V. Phone/Fax

Practice location:
  • Phone: 513-398-8820
  • Fax: 513-398-4815
Mailing address:
  • Phone: 513-398-8820
  • Fax: 513-398-4815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH.03333878
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: