Individual
MR. DAVID LEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
RICHARD L. ROUDEBUSH VA MEDICAL CENTER, 1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202
(317) 554-0000
Mailing address
8039 CAMPBELL AVE, INDIANAPOLIS, IN 46250
(317) 576-9092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016051A
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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