Organization
HENDERSON PHARMACY LLC
Active
Parent organization
HENDERSON PHARMACY LLC
Other names
Henderson Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDERSON PHARMACY LLC
Authorized official
RANDY GLEN BALDWIN PHARMD (PHARMACIST IN CHARGE)
(402) 723-4475
Entity
Organization
Contact information
Practice address
1060 N MAIN ST, HENDERSON, NE 68371-9798
(402) 723-4475
(402) 723-4476
Mailing address
PO BOX 711, HENDERSON, NE 68371-0711
(402) 723-4475
(402) 723-4476
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
10/10/2024
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