Individual
GINGER HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4545 S NOLAND RD, INDEPENDENCE, MO 64055-4887
(816) 478-1968
(816) 478-5649
Mailing address
1704 OVERBROOK LN, RAYMORE, MO 64083-8172
(816) 718-6896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001019308
MO
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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