Individual
PATRICIA ANNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 SE MARSHALL ST, BOONE, IA 50036-7149
(515) 432-3484
Mailing address
1515 SE MARSHALL ST, BOONE, IA 50036-7149
(515) 432-3484
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5243
IA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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