Individual
MR. NEALAN RAY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
230 REDWOOD HWY, GRANTS PASS, OR 97527-5404
(541) 479-8337
(541) 476-1443
Mailing address
158 WHISPERING DR, GRANTS PASS, OR 97527-9084
(541) 476-6826
(541) 476-6826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6730
OR
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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