Healthcare Provider Details

I. General information

NPI: 1821922055
Provider Name (Legal Business Name): CHELSEA LYN BENNETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HURLEY PLZ
FLINT MI
48503-5902
US

IV. Provider business mailing address

8318 NEW LOTHROP RD
NEW LOTHROP MI
48460-9756
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-6892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number5302038242
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: