Kenneth Roberto Henderson

NPI 1740596592 - Pharmacy Technician - 183700000X

NPI Details
NPI 1740596592
Gender Male
Enumeration Date 08/30/2010
Last Updated 08/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10375 RICHMOND AVE
#1575
HOUSTON TX, 77042-4143, US
Phone (866) 312-1177
Fax (713) 953-1925
Business Location
10375 RICHMOND AVE
#1575
HOUSTON TX, 77042-4143, US
Phone (866) 312-1177
Fax (713) 953-1925
Toxanomy
Taxonomy Code 183700000X
License State Texas
License Number 179826
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According to our database, Kenneth Roberto Henderson NPI is 1740596592, taxonomy code is 183700000X and license number is 179826, license state is located at Texas. Kenneth Roberto Henderson physically located at 10375 Richmond Ave, Houston TX, 77042-4143. NPI Number Kenneth Roberto Henderson has the Individual type.

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1740596592 NPI number is provided on an as is basis without warranty of any kind. 1740596592 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Roberto Henderson are for informational purposes only.