Healthcare Provider Details

I. General information

NPI: 1861916090
Provider Name (Legal Business Name): GENE SCOTT HENSON R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2017
Last Update Date: 07/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 FAIRVIEW RD
ASHEVILLE NC
28803-1011
US

IV. Provider business mailing address

PO BOX 1554
ENKA NC
28728-1554
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-3636
  • Fax:
Mailing address:
  • Phone: 828-243-1092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10944
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: