Individual
JOHANNE ELIZABETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S WASHINGTON ST, JUNCTION CITY, KS 66441-3748
(785) 238-1000
(785) 238-5555
Mailing address
407 S WASHINGTON ST, JUNCTION CITY, KS 66441-3748
(785) 238-1000
(785) 238-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17064
KS LICENSE
KS
01
—
22000
NC LICENSE
NC
Enumeration date
07/20/2011
Last updated
03/17/2017
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