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Individual

BENJAMIN BRENT WASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
992 LINKS DR APT 8, JONESBORO, AR 72404-0791
(501) 472-4691
Mailing address
992 LINKS DR APT 8, JONESBORO, AR 72404-0791
(501) 472-4691

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11973
AR

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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