Individual provider · Type 1 NPI

Carlo Jade Henson

Pharmacist · St. Paul, MN

NPI number 1093239980 Active

Practice location

345 Smith Ave N
St. Paul, MN 55102-2346

Call (651) 220-6820 Map

Mailing address

141 4th St E Apt 924
St. Paul, MN 55101-2517

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X123456 (MN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093239980

Carlo Jade Henson's National Provider Identifier is 1093239980, issued on Aug 1, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Paul, MN. The record was last updated on Aug 1, 2017.