Individual
BRET LYLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
565 S MALL DR, ST GEORGE, UT 84790-1258
(435) 705-7420
(435) 705-7421
Mailing address
565 S MALL DR, ST GEORGE, UT 84790-1258
(435) 705-7420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4821449-1701
UT
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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