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1740885086
POWUM BENNAM
WOODBRIDGE, VA
NPI
1740885086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202216219)
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
POWUM BENNAM PharmD
16793 CAPON TREE LN
WOODBRIDGE, VA 22191-5134
Phone number: 571-481-1842
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Mailing Address
POWUM BENNAM PharmD
9555 KINGS CHARTER DR STE D
ASHLAND, VA 23005-7994
Phone number: 800-753-0596
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