Individual
BRIAN JAMES BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2110 S M 76, WEST BRANCH, MI 48661-8737
(989) 345-4884
(847) 396-2732
Mailing address
2110 S M 76, WEST BRANCH, MI 48661-8737
(989) 345-4884
(847) 396-2732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027065
MI
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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