Provider Demographics
NPI:1326439209
Name:FURTWENGLER, BENJAMIN (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:FURTWENGLER
Suffix:
Gender:M
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HIGHWAY 17 N
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-2905
Mailing Address - Country:US
Mailing Address - Phone:843-663-1459
Mailing Address - Fax:843-663-1472
Practice Address - Street 1:601 HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-2905
Practice Address - Country:US
Practice Address - Phone:843-663-1459
Practice Address - Fax:843-663-1472
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03234026183500000X
NC25552183500000X
SC42468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist