Devin Bennett, PHARMD

Individual provider Active NPI Pharmacist · Greenfield, IN

NPI 1194306399 · NPPES record last updated Apr 19, 2021

Key facts

NPI
1194306399
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26021196A (IN)
Practice address
1195 N State St
Greenfield, IN 46140-1207
Phone
(317) 462-8923
Fax
(317) 462-9028
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26021196AINMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26021196A IN Yes

Addresses

Primary practice location

1195 N State St
Greenfield, IN 46140-1207

Mailing address

1195 N State St
Greenfield, IN 46140-1207
Phone (317) 462-8923

Other providers in Greenfield, IN

All providers in Greenfield, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.