Individual
JACK HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
739 LEXINGTON AVE, HERSHEY, PA 17033-1837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP025377L
PA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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