Individual
MR. CARL J BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8571 WATSON RD, WEBSTER GROVES, MO 63119-5218
(314) 962-5545
(314) 968-1704
Mailing address
8571 WATSON RD, WEBSTER GROVES, MO 63119-5218
(314) 962-5545
(314) 968-1704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41709
MO
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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