Individual
MRS. CARLA MARIA HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 MARCELL DR NE, ROCKFORD, MI 49341-1364
(616) 863-9376
(616) 863-9402
Mailing address
9801 SHANER AVE NE, ROCKFORD, MI 49341-7821
(616) 866-4180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029655
MI
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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