Individual
GEORGIA ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 E 17TH AVE, HUTCHINSON, KS 67501-1104
(620) 669-0125
Mailing address
1905 E 17TH AVE, HUTCHINSON, KS 67501-1104
(620) 669-0125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11525
KS
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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