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Individual

DR. KRISTOPHER HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D., B.S.

Contact information

Practice address
1501 BAY AVE, OCEAN PARK, WA 98640-4203
(360) 665-5181
Mailing address
101 BOLSTAD AVE, LONG BEACH, WA 98631
(360) 642-3200
(360) 642-8786

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014930
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60603603
WA

Other

Enumeration date
09/22/2015
Last updated
07/21/2022
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