Individual
CALLISTA M HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
2516 CENTRAL AVE, CHARLOTTE, NC 28205-5313
(704) 344-6494
(704) 344-6469
Mailing address
PO BOX 36839, CHARLOTTE, NC 28236-6839
(704) 576-4162
(704) 364-4574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16299
NC
183500000X
Pharmacist
25452
MI
Other
Enumeration date
09/07/2008
Last updated
09/07/2008
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