Individual
MRS. DEBBIE B HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
2700 HC MATHIS DR, PADUCAH, KY 42001-3704
(270) 443-7200
(270) 443-8537
Mailing address
20 GREENWOOD PLACE, PADUCAH, KY 42003
(270) 443-7200
(270) 443-8537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008105
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008105
STATE LICENSE#
KY
Enumeration date
08/16/2006
Last updated
07/08/2007
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