MR. Thomas R. Bennett, R.PH.

NPI #1316193188 in Vine Grove, Kentucky

Provider Information

NPI Number: 1316193188
Entity Type: Individual
Name: MR. Thomas R. Bennett, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 13, 2008
Last Updated: Aug 13, 2008

Practice Location

Address: 107 CRUTCHER ST
City: Vine Grove
State: Kentucky
ZIP Code: 40175-1409
Phone: (270) 877-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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