Individual
JULIA KAY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1863 CR 5300, COFFEYVILLE, KS 67337-8301
(620) 251-4145
Mailing address
15201 E 110TH ST N, OWASSO, OK 74055-7319
(918) 728-5110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103755
KS
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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