Individual
DR. SHARRON RENISE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4750 E 450 S, WHITESTOWN, IN 46075-8404
(888) 282-2881
Mailing address
10135 BROADMEADOW DR, INDIANAPOLIS, IN 46239-9775
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26025049A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26025049A
LICENSE
IN
Enumeration date
08/18/2020
Last updated
08/18/2020
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