Individual
ELISE G HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 MICHAELA DR, NORTH LITTLE ROCK, AR 72117-5361
(501) 992-1006
Mailing address
PO BOX 6834, SHERWOOD, AR 72124-6834
(501) 517-3307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07313
AR
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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