Individual
MR. BRUCE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8053 W COUNTY ROAD 76, GUTHRIE, OK 73044-9574
(405) 969-3817
Mailing address
8053 W COUNTY ROAD 76, GUTHRIE, OK 73044-9574
(405) 969-3817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R11444
OK
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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