Individual
MR. THOMAS R. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
107 CRUTCHER ST, VINE GROVE, KY 40175-1409
(270) 877-5111
(270) 877-6232
Mailing address
107 CRUTCHER ST, VINE GROVE, KY 40175-1409
(270) 877-5111
(270) 877-6232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8278
KY
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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