# HENDERSON DRUG 10, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henderson's Drug Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114169851
- **Authorized official:** MR. LAWRENCE A JEPSEN (PRESIDENT)
- **Authorized official phone:** (607) 535-4999

## Contact information

- **Practice address:** 210 N FRANKLIN ST, WATKINS GLEN, NY 14891-1224
- **Practice address phone:** (607) 535-4660
- **Practice address fax:** (604) 535-4550
- **Mailing address:** PO BOX 696, WATKINS GLEN, NY 14891-0696
- **Mailing address phone:** (607) 535-4999
- **Mailing address fax:** (607) 535-4320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 029286 | NY | Yes |

## Other

- **Enumeration date:** 03/26/2009
- **Last updated:** 02/18/2010