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Individual

MR. FRANK ROBERT HENDERSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.D.

Contact information

Practice address
2101 ROCK SPRING RD, FOREST HILL, MD 21050-2617
(410) 420-8224
Mailing address
3982 OLD FEDERAL HILL RD, JARRETTSVILLE, MD 21084-1634

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11436
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11436
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11436
LICENSE
MH
Enumeration date
10/24/2006
Last updated
06/10/2019
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