| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANA HENDERSON | 1073117909 | 2020-11-22 |
Shana Henderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073117909. Registration indicates Shana Henderson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Shana Henderson PHARMD |
| Practice Office Address | 26973 NEWPORT RD MENIFEE, CA US |
| Practice Office Telephone | 9513016356 |
| Mailing Address | 26973 NEWPORT RD MENIFEE, CA 925849221 US |
| Business Telephone | 9513016356 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 83491
CA |