Henderson, David William

Henderson, David William is an individual health care provider with primary practice located at 523 First St , Glasgow MO 65254. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Henderson, David William can be contacted via phone (660) 338-2125.

Contact Information

Primary practice address
523 First St Glasgow MO 65254
Phone: (660) 338-2125
Fax: (660) 338-2045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 041733 Missouri

Profile Details

NPI number 1972679868
LBN Legal business name Henderson, David William
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972679868 NPPES
Missouri Other 041733 PHARMACIST

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