Individual
BETH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 8TH ST S, WISCONSIN RAPIDS, WI 54494-6535
(715) 423-3401
Mailing address
5410 SILVER FOX CT, WISCONSIN RAPIDS, WI 54494-8357
(715) 540-0227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16961-40
WI
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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