Individual
AMANDA D. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
204 S CRIM AVE, BELINGTON, WV 26250-9662
(304) 823-1001
Mailing address
440 S MAIN ST, PHILIPPI, WV 26416-0015
(304) 457-4233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006886
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0006886
WV BOARD OF PHARMACY
WV
Enumeration date
02/04/2013
Last updated
11/19/2020
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