Healthcare Provider Details

I. General information

NPI: 1447791611
Provider Name (Legal Business Name): BENJAMIN KOBLE PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S 6TH ST
MCSHERRYSTOWN PA
17344-1800
US

IV. Provider business mailing address

8 S 6TH ST
MCSHERRYSTOWN PA
17344-1800
US

V. Phone/Fax

Practice location:
  • Phone: 717-630-2000
  • Fax: 717-630-8249
Mailing address:
  • Phone: 717-630-2000
  • Fax: 717-630-8249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP441775
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: