Individual
ZACKERY T BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
801 N LOYALSOCK AVE, MONTOURSVILLE, PA 17754-1023
(570) 368-5599
Mailing address
3815 MUSSER LN, MUNCY, PA 17756-5627
(570) 428-5116
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30133157
PA
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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