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Gordon Bennett Jr.

Pharmacist in Derry, NH. Individual provider (NPI-1).

NPI number1710108360
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710108360
Entity type
Individual (NPI-1)
Name
Mr. Gordon Bennett Jr.
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist1850NHYes

Practice location

20 Crystal Ave
Derry, NH 03038-2412

Phone 603-437-9799

Mailing address

54 Lawrence Rd
Derry, NH 03038-4191

Phone 603-432-5109

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