Individual
CHRISTOPHER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
48 PEBBLEBROOK CT, BLOOMINGTON, IL 61705-6300
(309) 827-0398
Mailing address
48 PEBBLEBROOK CT, BLOOMINGTON, IL 61705-6300
(309) 827-0398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.037238
IL
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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