Individual
MR. JEFFREY SCOTT HENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1040 HANES MALL BLVD, WINSTON SALEM, NC 27103-1309
(336) 774-9623
(336) 774-9623
Mailing address
1040 HANES MALL BLVD, WINSTON SALEM, NC 27103-1309
(336) 774-9623
(336) 774-9623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8348
NC
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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