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MR. EARL R.. HENDERSON RPH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1851359061

Individual Registrant:
MR. EARL R.. HENDERSON RPH.
Gender: M
Sole Proprietor

Location and contact information for practice:
220 W CENTRAL AVE  FITZGERALD, GA 31750-2438 US
Tel: 229-423-0521  Fax: --

Contact information for business:
PO BOX 144  CHULA, GA 31733-0144 US
Tel: 229-382-2779  Fax: --

Registration Information:
NPI: 1851359061
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA009881

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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