NPI 1104462829

Bret Lyle Bennett

Practitioner Pharmacist St George, UT

Practice location

Address: 565 S Mall Dr, St George, UT 84790-1258
Phone: (435) 705-7420
Fax: (435) 705-7421

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 4821449-1701 (UT)

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Registry record

NPI: 1104462829
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2019
Record last updated: 18 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.