| NPI | 1912423815 |
|---|---|
| Doing Business As | HENDERSON PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | RONALD WILLIAM HENDERSON Owner/Manager 740-702-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 020450500) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |