Individual
MR. JEFFREY A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 FAYETTEVILLE RD, RALEIGH, NC 27603-5635
(919) 772-0767
(919) 772-9809
Mailing address
8101 FAYETTEVILLE RD, RALEIGH, NC 27603-5635
(919) 772-0767
(919) 772-9809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10003
NC
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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