Organization
HENDERSON DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAL SOLDEVILA RPH (PRES)
(662) 624-6591
Entity
Organization
Contact information
Practice address
2021 HOSPITAL DR, CLARKSDALE, MS 38614-7205
(662) 624-6591
(662) 627-3389
Mailing address
2021 HOSPITAL DR, P O BOX 819, CLARKSDALE, MS 38614-7205
(662) 624-6591
(662) 627-3389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00412
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032336
—
MS
05
—
00045069
—
MS
01
—
2501321
NCPDP
MS
Enumeration date
10/05/2006
Last updated
09/30/2016
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