LUNAWATI LO BENNETT

JACKSON, TN
NPI1235730680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TN  0000036711)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
LUNAWATI LO BENNETT
1050 UNION UNIVERSITY DR
JACKSON, TN 38305-3697
Phone number: 561-420-9471
Mailing Address
LUNAWATI LO BENNETT
1050 UNION UNIVERSITY DR
JACKSON, TN 38305-3697
Phone number: 561-420-9471