Individual
STEPHEN R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
148 WALNUT LN, TRAVELERS REST, SC 29690-1600
(864) 834-5327
Mailing address
148 WALNUT LN, TRAVELERS REST, SC 29690-1600
(864) 834-5327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6395
SC
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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