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Individual

STEPHEN HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1010 LAY DAM RD, CLANTON, AL 35045-2306
(205) 280-3529
Mailing address
1509 BLIND BROOK LN, VESTAVIA, AL 35216-3304
(205) 979-8811

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9797
AL

Other

Enumeration date
08/09/2010
Last updated
04/05/2012
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