Individual
MR. RODERICK BELL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
570 PONTIAC AVE, CRANSTON, RI 02910-4710
(401) 781-6360
(401) 781-6378
Mailing address
570 PONTIAC AVE, CRANSTON, RI 02910-4710
(401) 781-6360
(401) 781-6378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1905
RI
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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