Gordon Bennett Valid NPI
Individual provider · Pharmacist · Derry, NH
- NPI
- 1710108360
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 1850 (NH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-05-01
- Last updated
- 2007-07-08
Practice location
20 Crystal Ave
Derry, NH 03038-2412
(603) 437-9799