Jeff Hendricks, PharmD
Pharmacist in Michigan City, IN. Individual provider (NPI-1).
NPI number1982204152
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1982204152
- Entity type
- Individual (NPI-1)
- Name
- Jeff Hendricks
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26026164A | IN | Yes |
Practice location
5780 Franklin StMichigan City, IN 46360-7844
Phone 219-872-3309
Mailing address
3813 Kingsway DrCrown Point, IN 46307-8982
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