Individual
ALLEN J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 542-7800
(443) 836-0405
Mailing address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 542-7800
(443) 836-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07605
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07605
PHARMACIST LICENSE
MD
Enumeration date
10/12/2006
Last updated
07/08/2007
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