Individual
DAVID WAYNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1408 GOLDEN SPRINGS RD, ANNISTON, AL 36207-6924
(256) 831-9960
(256) 831-8398
Mailing address
53 HERITAGE WAY, OXFORD, AL 36203-3944
(256) 835-6695
(256) 831-8398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10834
LICENSE NUMBER
AL
Enumeration date
08/29/2006
Last updated
07/08/2007
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