Michael Lee Henderson JR. PHARM.D.

NPI 1033180914 - Pharmacist - 183500000X

NPI Details
NPI 1033180914
Gender Male
Enumeration Date 01/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
600 W FRANKLIN ST
SHELTON WA, 98584-3519, US
Phone (360) 249-2661
Fax (360) 426-2497
Business Location
615 NORTH NINTH STREET
MONTESANO WA, 98563-2100, US
Phone (360) 249-2661
Fax
Toxanomy
Taxonomy Code 183500000X
License State Washington
License Number 19639
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According to our database, Dr. Michael Lee Henderson JR. PHARM.D. NPI is 1033180914, taxonomy code is 183500000X and license number is 19639, license state is located at Washington. Michael Lee Henderson JR. PHARM.D. physically located at 600 W Franklin St, Shelton WA, 98584-3519. NPI Number Michael Lee Henderson JR. PHARM.D. has the Individual type.

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1033180914 NPI number is provided on an as is basis without warranty of any kind. 1033180914 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Lee Henderson JR. PHARM.D. are for informational purposes only.