Individual
DR. NATHANIEL RAYMOND BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2200 SW GAGE BLVD PHARMACY DEPARTMENT, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
2200 SW GAGE BLVD PHARMACY DEPARTMENT, TOPEKA, KS 66622-0001
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-88977
MT
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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