LARRY ANTHONY HENKEN

BELLEVILLE, IL
NPI1831794999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051038689)
Additional Taxonomies183500000X Pharmacist
(Licence: MO  2016003862)
Enumeration Date2020-12-04
Last Update Date2020-12-04
Business Address
LARRY ANTHONY HENKEN RPH
1520 MASCOUTAH AVE
BELLEVILLE, IL 62220-3631
Phone number: 618-235-2204
Mailing Address
LARRY ANTHONY HENKEN RPH
113 RUTH DR
O FALLON, IL 62269-2444
Phone number: 618-444-9377