Individual
MS. TRACEY LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1215 141ST ST, PERRY, IA 50220-8127
(515) 465-3543
(515) 465-9467
Mailing address
2460 337TH ST, PERRY, IA 50220-8500
(515) 436-7212
(515) 465-9467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17947
IA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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