Individual
KYLIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 114TH ST, LUBBOCK, TX 79424-7705
(806) 698-6828
Mailing address
4405 114TH ST, LUBBOCK, TX 79424-7705
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
311939
TX
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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