Provider Demographics
NPI:1184999039
Name:PARTIN, BENJAMIN FRANCIS (RPH)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:FRANCIS
Last Name:PARTIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 E GREEN DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-6716
Mailing Address - Country:US
Mailing Address - Phone:336-884-2261
Mailing Address - Fax:336-886-4225
Practice Address - Street 1:914 E GREEN DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-6716
Practice Address - Country:US
Practice Address - Phone:336-884-2261
Practice Address - Fax:336-886-4225
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-11
Last Update Date:2012-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist