Individual
SHANNON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 DICK POND RD, MYRTLE BEACH, SC 29575-5503
(843) 232-0091
Mailing address
915 BRENTMOOR DR UNIT 1120, MYRTLE BEACH, SC 29579-4601
(276) 229-6175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43919
SC
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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