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NPI Code Detail

MEDICARE: MARTI HENSON

MEDICARE:   MARTI  HENSON
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
1183500000XPharmacistPD07352AR

General Provider Information

NPI Number : 1376099721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTI HENSON
Provider Business Mailing Address
First Line : 1368 HIGDON FERRY RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6411
Country : US
Telephone Number : 501-625-7212
Fax Number : 501-625-7213
Provider Business Practice Location Address
First Line : 1368 HIGDON FERRY RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6411
Country : US
Telephone Number : 501-625-7212
Fax Number : 501-625-7213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2016
Last Update Date : 08/26/2016

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Directions to “ MARTI HENSON ” Practice Location

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