Organization
HENDERSON'S DRUG II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A JEPSEN (PRESIDENT)
(607) 535-4999
Entity
Organization
Contact information
Practice address
100 N MAIN ST, SUITE L05, ELMIRA, NY 14901-2901
(607) 271-9794
(607) 271-9720
Mailing address
PO BOX 696, ELMIRA, NY 14902-0696
(607) 535-4999
(607) 535-4320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02714941
—
NY
Enumeration date
04/25/2006
Last updated
02/18/2010
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