Individual
MR. DANIEL BRUCE HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4295 GARDENVIEW DR, APT 111, NAPERVILLE, IL 60564-1624
(618) 364-6747
Mailing address
4295 GARDENVIEW DR, APT 111, NAPERVILLE, IL 60564-1624
(618) 364-6747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286824
IL
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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