Individual
JEFF HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5780 FRANKLIN ST, MICHIGAN CITY, IN 46360-7844
(219) 872-3309
Mailing address
3813 KINGSWAY DR, CROWN POINT, IN 46307-8982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026164A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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