Individual
RICHARD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
425 BURLWOOD AVE N, MONMOUTH, OR 97361-2252
(503) 930-5726
(503) 375-5730
Mailing address
2400 LANCASTER DR NE, KAISER PERMANETE NORTH LANCASTER PHARMACY, SALEM, OR 97305-1221
(503) 763-5978
(503) 375-5730
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0005939
OR
Other
Enumeration date
09/09/2016
Last updated
11/28/2016
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