Individual
DR. J. MICHAEL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3207 INTERNATIONAL DR, SUITE F, MOBILE, AL 36606-3020
(251) 478-0758
(251) 478-0227
Mailing address
8279 MAGNOLIA VILLAGE DR N, MOBILE, AL 36695-6237
(251) 478-0758
(251) 478-0758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
013248
KY
183500000X
Pharmacist
017989
LA
183500000X
Pharmacist
Primary
14492
AL
183500000X
Pharmacist
20379
GA
183500000X
Pharmacist
22976
TN
183500000X
Pharmacist
PD10051
AR
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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