Individual
DR. GRANT CRAWFORD HENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
333 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 744-8362
Mailing address
333 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 744-8362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011753
WV
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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