Individual
MS. ELLEN LYNN HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
925 S GREEN RIVER RD, EVANSVILLE, IN 47715-4107
(812) 474-0055
(812) 474-0055
Mailing address
8127 WASHINGTON AVE, EVANSVILLE, IN 47715-4550
(812) 401-5825
(812) 401-5825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03113043
OH
183500000X
Pharmacist
Primary
26012811
IN
183500000X
Pharmacist
S008262
AZ
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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