Provider Demographics
NPI:1447791611
Name:KOBLE, BENJAMIN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:KOBLE
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MCSHERRYSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17344-1800
Mailing Address - Country:US
Mailing Address - Phone:717-630-2000
Mailing Address - Fax:717-630-8249
Practice Address - Street 1:8 S 6TH ST
Practice Address - Street 2:
Practice Address - City:MCSHERRYSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17344-1800
Practice Address - Country:US
Practice Address - Phone:717-630-2000
Practice Address - Fax:717-630-8249
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist