Mark Henderson

Pharmacist · Olive Branch, MS

Individual Active NPI

NPI number 1407138167

Practice location

6958 Goodman Rd
Olive Branch, MS 38654-7034
Phone
(662) 890-5047

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NPI record

NPI
1407138167
Entity type
Individual (Type 1)
Enumeration date
September 19, 2011
Last updated
September 19, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X T09016 MS

About Mark Henderson

Mark Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 6958 Goodman Rd, Olive Branch, MS 38654-7034. The NPI number 1407138167 was assigned on September 19, 2011 and the record was last updated on September 19, 2011.

Mark Henderson lists a license in the registry: #T09016 (MS) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Henderson?

The NPI number is 1407138167.

What is the phone number of Mark Henderson?

The phone number listed for the practice location is (662) 890-5047.

Where is Mark Henderson located?

6958 Goodman Rd, Olive Branch, MS 38654-7034.

What is the taxonomy code for Mark Henderson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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