# DR. DAVID IRA HENDRICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942502661
- **Gender:** Man
- **Credential:** PHARM D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0010718 | OR | — |
| 183500000X | Pharmacist | 18027 | NC | Yes |
| 183500000X | Pharmacist | 2005011044 | MO | — |
| 183500000X | Pharmacist | 57042 | CA | — |

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 12/01/2010