Benjamin Ethan Street, PHARMD is a
Pharmacist based in Wytheville,, Virginia. Benjamin Ethan Street is licensed to practice in Virginia (license number 0202220704) and his current practice location is
155 W Lee Hwy, Wytheville,, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 239-6132.
NPI number for Benjamin Ethan Street is 1679295323 and his current mailing address is 193 Lagrange St, North Tazewell, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679295323.
Healthcare Provider's Profile
| Full Name | Benjamin Ethan Street |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 155 W Lee Hwy, Wytheville,, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679295323
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 10/12/2023
Medical Identifiers
Medical identifiers for Benjamin Ethan Street such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679295323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 0202220704 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Ethan Street is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Ethan Street, PHARMD
193 Lagrange St,
North Tazewell, VA 24630-8432
Ph: (276) 385-3665 | Benjamin Ethan Street, PHARMD
155 W Lee Hwy,
Wytheville,, VA 24382
Ph: (276) 239-6132 |
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