Provider Demographics
NPI:1538388772
Name:KNIGHT, BENJAMIN WAY JR (RPH)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:WAY
Last Name:KNIGHT
Suffix:JR
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 1:9 OLD MILL CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2824
Mailing Address - Country:US
Mailing Address - Phone:912-925-5341
Mailing Address - Fax:
Practice Address - Street 1:11505 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1901
Practice Address - Country:US
Practice Address - Phone:912-927-6119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH009372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist