Individual
ALFRED BENNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1705 US HWY 51/138, STOUGHTON, WI 53589
(608) 873-7612
Mailing address
1705 US HWY 51/138, STOUGHTON, WI 53589
(608) 873-7612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7481-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7481-40
LICENSED PHARMACIST
WI
Enumeration date
09/15/2011
Last updated
03/01/2012
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