Individual
MRS. CARLISS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
309 JACKSON ST., FLOOR 1, MONROE, LA 71201-7407
(318) 966-7242
(318) 966-7224
Mailing address
309 JACKSON ST., FLOOR 1, MONROE, LA 71201-7407
(318) 966-7242
(318) 966-7224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.010382
LA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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