Individual
JOHN WILLIAM BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7177 E TANQUE VERDE RD, TUCSON, AZ 85715-3431
(520) 731-0147
(520) 731-0238
Mailing address
9060 E INDIAN CANYON RD, TUCSON, AZ 85749-9404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10629
AZ
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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