POWUM BENNAM

WOODBRIDGE, VA
NPI1740885086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202216219)
Enumeration Date2020-12-03
Last Update Date2020-12-03
Business Address
POWUM BENNAM PharmD
16793 CAPON TREE LN
WOODBRIDGE, VA 22191-5134
Phone number: 571-481-1842
Mailing Address
POWUM BENNAM PharmD
9555 KINGS CHARTER DR STE D
ASHLAND, VA 23005-7994
Phone number: 800-753-0596