Individual
DIANE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6600 W MAIN ST, KALAMAZOO, MI 49009-3962
(269) 372-9133
Mailing address
6600 W MAIN ST, KALAMAZOO, MI 49009-3962
(269) 372-9133
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302021338
MI
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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