Individual
MR. CARTER HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-6202
Mailing address
13446 SUNSET DR, LANSE, MI 49946-8370
(906) 201-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044063
MI
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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