Individual
DR. BRIAN T HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
507 N. FOOTHILLS PLAZA, MARYVILLE, TN 37801-2312
(865) 238-7436
Mailing address
8410 IVY FALLS WAY, APT 1717, KNOXVILLE, TN 37923-3163
(615) 476-1527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39166
TN
Other
Enumeration date
11/11/2015
Last updated
10/31/2016
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