Provider Demographics
NPI:1376154153
Name:TALBERT, S BENJAMIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:S
Middle Name:BENJAMIN
Last Name:TALBERT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 S WATERLEAF DR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-7924
Mailing Address - Country:US
Mailing Address - Phone:317-816-1446
Mailing Address - Fax:
Practice Address - Street 1:1447 S WATERLEAF DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-7924
Practice Address - Country:US
Practice Address - Phone:317-816-1446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024686A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist