Jerry Henderson
NPI #1508228214 in Farmerville, Louisiana
Provider Information
- NPI Number
- 1508228214
- Entity Type
- Individual
- Name
- Jerry Henderson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Mar 22, 2016
Practice Location
- Address
- 201 E FRANKLIN ST
- City
- Farmerville
- State
- Louisiana
- ZIP Code
- 71241-2956
- Phone
- (318) 368-8340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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