Individual
GERALDINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
288 UNION AVE, LACONIA, NH 03246-3115
(603) 528-1700
Mailing address
PO BOX 377, MOULTONBOROUGH, NH 03254-0377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3424
NH
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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