Ray Henicke

NPI #1578037586 in Albany, Texas

Provider Information

NPI Number
1578037586
Entity Type
Individual
Name
Ray Henicke
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jan 14, 2019
Last Updated
Jan 14, 2019

Practice Location

Address
104 S. MAIN STREET
City
Albany
State
Texas
ZIP Code
76430
Phone
(325) 668-0879

Specialties & Taxonomy Codes

Specialty
Pharmacist

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