Bennett, Keith Robert

Bennett, Keith Robert is an individual health care provider with primary practice located at 5353 Yellowstone Rd Rm 211 , Cheyenne WY 82009-4178. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bennett, Keith Robert can be contacted via phone (888) 385-0235.

Contact Information

Primary practice address
5353 Yellowstone Rd Rm 211 Cheyenne WY 82009-4178
Phone: (888) 385-0235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHA.0021975 Colorado
Pharmacy Service Providers / Pharmacist 183500000X 3983 Wyoming

Profile Details

NPI number 1588183750
LBN Legal business name Bennett, Keith Robert
Credentials PHARMD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2017
Last updated Sep 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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