Henderson, Jack

Henderson, Jack is an individual health care provider with primary practice located at 2250 Hickory Rd Ste 240, Plymouth Meeting PA 19462-1047. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Henderson, Jack can be contacted via phone (800) 879-4471.

Contact Information

Primary practice address
2250 Hickory Rd Ste 240 Plymouth Meeting PA 19462-1047
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP025377L Pennsylvania

Profile Details

NPI number 1457527939
LBN Legal business name Henderson, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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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