Individual
MRS. MARY L HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH,MBA
Contact information
Practice address
6101 N 64TH ST, MILWAUKEE, WI 53218-1543
(262) 649-6914
Mailing address
6101 N 64TH ST, MILWAUKEE, WI 53218-1543
(262) 649-6914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11545
WI
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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