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DR. MICHAEL BENNETT PHARM.D.

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1881010692

Individual Registrant:
DR. MICHAEL  BENNETT PHARM.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
31735 RIVERSIDE DR C-330 LAKE ELSINORE, CA 92530-7816 US
Tel: 760-716-7994  Fax: --

Contact information for business:
31735 RIVERSIDE DR C-330 LAKE ELSINORE, CA 92530-7816 US
Tel: 760-716-7994  Fax: --

Registration Information:
NPI: 1881010692
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
CARPH 40436

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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