Individual
DORY JOHNSON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 CEDAR ST, HELENA, MT 59601-1108
(406) 475-3025
(406) 443-1243
Mailing address
1700 CEDAR ST, HELENA, MT 59601-1108
(406) 475-3025
(406) 443-1243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3309
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA-PHA-LIC-3309
PHARMACIST LICENSE
MT
Enumeration date
08/07/2014
Last updated
08/07/2014
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