Organization
HENDERSON DRUG 10, INC
Active
Other names
Henderson's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE A JEPSEN (PRESIDENT)
(607) 535-4999
Entity
Organization
Contact information
Practice address
210 N FRANKLIN ST, WATKINS GLEN, NY 14891-1224
(607) 535-4660
(604) 535-4550
Mailing address
PO BOX 696, WATKINS GLEN, NY 14891-0696
(607) 535-4999
(607) 535-4320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029286
NY
Other
Enumeration date
03/26/2009
Last updated
02/18/2010
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