Individual
BRUCE JOHN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5164
Mailing address
7051 81ST AVE SE, MERCER ISLAND, WA 98040-5301
(206) 890-9819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010541
WA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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