National Provider Identifier
Susan Jane Henderson, RPH, MBA
Susan Jane Henderson, RPH, MBA is listed in the NPPES registry with a primary specialty of Pharmacist in Medina, NY and a listed phone number of (585) 798-1980.
Profile Overview
- NPI
- 1942480595
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 13, 2007
- Last Updated
- February 24, 2010
Practice Location
- 1422 S Main St
- Rite Aid #665
- Medina, NY 14103-9779
Phone: (585) 798-1980
Mailing Address
- 27 Shady Oaks Ct
- East Amherst, NY 14051-2419
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1942480595
- Entity Type
- Individual
- Last Name
- Henderson
- First Name
- Susan
- Middle Name
- Jane
- Name Prefix
- Mrs.
- Credential
- RPH, MBA
- Mailing Street Address
- 27 Shady Oaks Ct
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2419
- Mailing Country
- US
- Mailing Phone
- (716) 636-0301
- Practice Street Address
- 1422 S Main St
- Practice Address Line 2
- Rite Aid #665
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-9779
- Practice Country
- US
- Practice Phone
- (585) 798-1980
- Practice Fax
- (585) 798-1387
- Enumeration Date
- November 13, 2007
- Last Updated
- February 24, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)