Hale, Benjamin

Hale, Benjamin is an individual health care provider with primary practice located at 12332 Manchester Rd , Des Peres MO 63131-4315. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hale, Benjamin can be contacted via phone (314) 965-0062.

Contact Information

Primary practice address
12332 Manchester Rd Des Peres MO 63131-4315
Phone: (314) 965-0062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2009011786 Missouri
Pharmacy Service Providers / Pharmacist 183500000X 051.292942 Illinois

Profile Details

NPI number 1073813143
LBN Legal business name Hale, Benjamin
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2010
Last updated Oct 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073813143 NPPES
Missouri MEDICAID 601580731

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