Individual
DR. MARK ANDREW BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 S COMMERCE WAY, BRIGHAM CITY, UT 84302-3117
(435) 734-9784
Mailing address
1200 S COMMERCE WAY, BRIGHAM CITY, UT 84302-3117
(435) 734-9784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8658054-1701
UT
183500000X
Pharmacist
8658054-8911
UT
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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