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Roy Hendricksen

Pharmacist in San Carlos, CA. Individual provider (NPI-1).

NPI number1487936639
StatusActive
Last updated in NPPESSep 14, 2011

Details

NPI
1487936639
Entity type
Individual (NPI-1)
Name
Mr. Roy Hendricksen
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 14, 2011
Last updated
Sep 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist32204CAYes

Practice location

1414 El Camino Real
San Carlos, CA 94070

Phone 650-637-9777

Mailing address

1607 Alameda De Las Pulgas
San Carlos, CA 94070

Phone 650-364-4858

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