Individual
JENNIFER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6300 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8935
(425) 369-0265
Mailing address
6300 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8935
(425) 369-0265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61247021
WA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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