Individual
DEREK HENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
(503) 626-9436
Mailing address
9310 SE 77TH CT, PORTLAND, OR 97222-1310
(504) 460-6816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015179
OR
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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