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Individual

DR. DAVID IRA HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
333 WEST MILLS STREET, COLUMBUS, NC 28722
(828) 894-8247
(828) 894-3891
Mailing address
1 BROOK BROOK FOREST DRIVE, ARDEN, NC 28704
(828) 676-0673
(828) 676-0673

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0010718
OR
183500000X
Pharmacist
Primary
18027
NC
183500000X
Pharmacist
2005011044
MO
183500000X
Pharmacist
57042
CA

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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