Individual
MR. GARY EDWIN BENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
9525 BRADDOCK RD, PHARMACY, FAIRFAX, VA 22032-2539
(703) 978-7326
(703) 978-6091
Mailing address
9525 BRADDOCK RD, PHARMACY, FAIRFAX, VA 22032-2539
(703) 978-7326
(703) 978-6091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007905
VA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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