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1427658046
DARRELL R BENNETT
PROVO, UT
NPI
1427658046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
333600000X Pharmacy
(Licence: UT 7087326-1701)
Enumeration Date
2020-11-01
Last Update Date
2020-11-01
Business Address
DARRELL R BENNETT PHARMD
2255 N UNIVERSITY PKWY
PROVO, UT 84604-1588
Phone number: 385-219-3077
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Mailing Address
DARRELL R BENNETT PHARMD
326 E 280 N
VINEYARD, UT 84059-7591
Phone number: 435-650-3294
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