Individual
MS. JUDY NEAL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
820 S BOYLAN AVE, RALEIGH, NC 27603-2246
(919) 733-5266
Mailing address
PO BOX 422, KNIGHTDALE, NC 27545-0422
(919) 266-1725
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
11195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11195
PHARMACY LICENSE #
NC
Enumeration date
05/18/2007
Last updated
07/08/2007
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