Individual
JACQUELYN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3101 NEW BERN AVE, RALEIGH, NC 27610-1216
(919) 231-5074
Mailing address
3101 NEW BERN AVE, RALEIGH, NC 27610-1216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24697
NC
183500000X
Pharmacist
26025020A
IN
Other
Enumeration date
03/03/2015
Last updated
05/01/2024
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