Provider Demographics
NPI:1871038554
Name:MACARTHUR, BENNETT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BENNETT
Middle Name:
Last Name:MACARTHUR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2545
Mailing Address - Country:US
Mailing Address - Phone:803-957-6744
Mailing Address - Fax:847-396-3152
Practice Address - Street 1:748 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2545
Practice Address - Country:US
Practice Address - Phone:803-957-6744
Practice Address - Fax:847-396-3152
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist