Individual
DARRELL R BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2255 N UNIVERSITY PKWY, PROVO, UT 84604-1588
(385) 219-3077
Mailing address
326 E 280 N, VINEYARD, UT 84059-7591
(435) 650-3294
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7087326-1701
UT
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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