Individual
MR. EARL THOMAS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10635 MACCORKLE AVE, MARMET, WV 25315-1963
(304) 949-3045
Mailing address
10635 MACCORKLE AVE, MARMET, WV 25315-1963
(304) 949-3045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3001
WV
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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