Individual
BRENT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2147 BLOWING ROCK RD, BOONE, NC 28607
(828) 262-0900
Mailing address
124 SABLE DR, BOONE, NC 28607
(828) 234-0212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24110
NC
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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