Individual
DR. MADISON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1103 SOUTH 169 HIGHWAY, SMITHVILLE, MO 64089
(816) 532-0977
(816) 532-8444
Mailing address
1103 SOUTH 169 HIGHWAY, SMITHVILLE, MO 64089
(816) 532-0977
(816) 532-8444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016030333
MO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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