Individual
BENNETT PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 CHARLESTOWN RD, NEW ALBANY, IN 47150-3339
(812) 944-3612
Mailing address
1080 BAXTER AVE, LOUISVILLE, KY 40204-1655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031126A
IN
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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