Henderson, David Wayne

Henderson, David Wayne is an individual health care provider with primary practice located at 1408 Golden Springs Rd , Anniston AL 36207-6924. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Henderson, David Wayne can be contacted via phone (256) 831-9960.

Contact Information

Primary practice address
1408 Golden Springs Rd Anniston AL 36207-6924
Fax: (256) 831-8398
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10834 Alabama

Profile Details

NPI number 1720196645
LBN Legal business name Henderson, David Wayne
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1720196645 NPPES
Alabama Other 10834 LICENSE NUMBER

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