MEDICARE: ASHTON BENEAR PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	1-103140	KS

General Provider Information

NPI Number	:	1639689078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHTON BENEAR PHARMD

Provider Business Mailing Address
First Line	:	1417 N KANSAS AVE
Second Line	:
City	:	LIBERAL
State	:	KS
Zip	:	67901-2444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 N KANSAS AVE
Second Line	:
City	:	LIBERAL
State	:	KS
Zip	:	67901-2444
Country	:	US
Telephone Number	:	620-626-4234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	10/11/2017

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Directions to “ ASHTON BENEAR PHARMD” Practice Location

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