Individual
JAMES THOMAS HENNIGAN, JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARM D
Contact information
Practice address
1103 W 1ST ST, DERIDDER, LA 70634-3705
(337) 463-2258
Mailing address
173 GRANBERRY RD, DERIDDER, LA 70634-5568
(337) 463-2662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13979
LA
Other
Enumeration date
05/08/2007
Last updated
04/20/2010
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