Individual
KIM M HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4801 W CLARA LN, MUNCIE, IN 47304-5548
(765) 284-3750
Mailing address
11101 E COUNTY ROAD 500 S, SELMA, IN 47383-9387
(765) 702-1474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017650
IN
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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