Individual
DR. XANDER VAN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1225 PARIS RD, MAYFIELD, KY 42066-4989
(270) 247-2280
(270) 247-2559
Mailing address
39 LALLA LN, MAYFIELD, KY 42066-4967
(270) 705-5345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025884
KY
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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