Individual
DR. JUSTIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
120 N 27TH ST, SUITE 200, NORFOLK, NE 68701-3286
(402) 371-3444
(402) 371-3566
Mailing address
120 N 27TH ST, SUITE 200, NORFOLK, NE 68701-3286
(402) 371-3444
(402) 371-3566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-15582
KS
183500000X
Pharmacist
121145
MN
183500000X
Pharmacist
13366
SC
183500000X
Pharmacist
Primary
13748
NE
183500000X
Pharmacist
18489
NV
183500000X
Pharmacist
20182
CO
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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