Individual provider · Type 1 NPI
Nichole Yvonne Henderson
Pharmacist · Fairfax, VA
Practice location
13059 Fair Lakes Pkwy
Fairfax, VA 22033
Fax (703) 631-4758
Mailing address
13108 Pelfrey Ln
Fairfax, VA 22033-3028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 0202012188 (VA) |
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 1487256129
Nichole Yvonne Henderson's National Provider Identifier is 1487256129, issued on Nov 9, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 9, 2020.