Individual
BENNY M NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6327 43 TORRESDALE AVE, PHILADELPHIA, PA 19135
(215) 331-9929
Mailing address
9992 GARDENIA LN, PHILADELPHIA, PA 19115-1100
(215) 856-3336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP045841L
PA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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