Individual
JACOB LOGAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1711 PLEASANT ST APT 302, DES MOINES, IA 50314-1055
(815) 713-9379
Mailing address
1711 PLEASANT ST APT 302, DES MOINES, IA 50314-1055
(815) 713-9379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25177
IA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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