Individual
BRITTANY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2250 S FERDON BLVD, CRESTVIEW, FL 32536-8457
(850) 682-5635
Mailing address
2250 S FERDON BLVD, CRESTVIEW, FL 32536-8457
(850) 682-5635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS55107
STATE LICENSE
FL
Enumeration date
10/17/2016
Last updated
07/17/2020
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