Individual
MR. JARED LEE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
700 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-5623
(918) 342-8050
(918) 342-8099
Mailing address
700 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-5623
(918) 342-8050
(918) 342-8099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12177
OK
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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