Individual
ALEXANDRIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
25905 5 MILE RD, REDFORD, MI 48239-3226
(313) 535-8480
Mailing address
25905 5 MILE RD, REDFORD, MI 48239-3226
(313) 535-8480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038951
MI
183500000X
Pharmacist
PS51364
FL
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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