Individual
MRS. JUDI HENNEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 YOUENS DR, WEIMAR, TX 78962-3680
(979) 725-6713
(979) 725-6655
Mailing address
406 YOUENS DR, WEIMAR, TX 78962-3680
(979) 725-6713
(979) 725-6655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
31342
TX
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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