Individual
LORA SUE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3455 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30096-6501
(770) 476-7985
(770) 476-3437
Mailing address
109 HICKORY KNLS, CUMMING, GA 30040-2050
(678) 908-5585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019222
GA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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