Individual
COREY ALAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
510 WOODBURN RD, RALEIGH, NC 27605-1326
(919) 833-5523
Mailing address
510 WOODBURN RD, RALEIGH, NC 27605-1326
(919) 833-5523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25674
NC
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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