Individual provider · Type 1 NPI

Kammi Mignon Henderson, PharmD

Pharmacist · Macclenny, FL

NPI number 1376145383 Active

Practice location

9218 S, FL-228
Macclenny, FL 32063

Mailing address

4282 Broad Creek Ln
Jacksonville, FL 32218-9146

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS36881 (FL)

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 1376145383

Kammi Mignon Henderson, PharmD's National Provider Identifier is 1376145383, issued on Nov 13, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Macclenny, FL. The record was last updated on Nov 13, 2020.