Individual
NICOLE MARIE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
3470 RIVER RAPIDS DR NW, COON RAPIDS, MN 55448-4101
(763) 427-1156
(763) 427-1562
Mailing address
3470 RIVER RAPIDS DR NW, COON RAPIDS, MN 55448-4101
(763) 427-1156
(763) 427-1562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118584
MN
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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