Organization
BENNETT WHOLESALE DISTRIBUTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMEEL BENNETT SR. (OWNER)
(800) 650-0616
Entity
Organization
Contact information
Practice address
300 LONG POINTE LN STE 220-O, COLUMBIA, SC 29229-7543
(800) 650-0616
(800) 650-0616
Mailing address
300 LONG POINTE LN STE 220-O, COLUMBIA, SC 29229-7543
(800) 650-0616
(800) 650-0616
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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