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NPI Code Detail

MEDICARE: JAMES HENDERSON R.PH.

MEDICARE: JAMES HENDERSON R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03110882OH

General Provider Information

NPI Number : 1346632494
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES HENDERSON R.PH.
Provider Business Mailing Address
First Line : 1425 COLUMBUS AVE
Second Line :
City : LEBANON
State : OH
Zip : 45036-8258
Country : US
Telephone Number : 513-228-7370
Fax Number :
Provider Business Practice Location Address
First Line : 1425 COLUMBUS AVE
Second Line :
City : LEBANON
State : OH
Zip : 45036-8258
Country : US
Telephone Number : 513-228-7370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 02/26/2015

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