Individual
AMANDA C HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
104 SUNSET CIR, UNDERWOOD, IA 51576-5043
(712) 309-1664
Mailing address
104 SUNSET CIR, UNDERWOOD, IA 51576-5043
(712) 309-1664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19162
IA
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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