Individual
DR. GREGORY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1310 WILLOW CREEK RD, PRESCOTT, AZ 86301-1492
(928) 277-9965
Mailing address
7929 E GAZELLE RD, PRESCOTT VALLEY, AZ 86315-7833
(928) 778-5609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013594
AZ
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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