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Nichole Yvonne Henderson
Pharmacist in Fairfax, Virginia
NPI 1487256129

Nichole Yvonne Henderson is a Pharmacist based in Fairfax, VA. Nichole Yvonne Henderson practices in Fairfax, VA. The NPI Number for Nichole Yvonne Henderson is 1487256129 and holds a License No. 0202012188 (Virginia).

The current practice location address for Nichole Yvonne Henderson is 13059 Fair Lakes Pkwy, Fairfax, VA and can be reached out via phone at 703-631-4007 and via fax at 703-631-4758.

Location: 13059 Fair Lakes Pkwy, Fairfax, VA, 22033-3028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487256129
Provider Name
Nichole Yvonne Henderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
13059 Fair Lakes Pkwy, Fairfax, VA, 22033-3028
Phone Number
703-631-4007
Fax Number
703-631-4758
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13059 Fair Lakes Pkwy
City
Fairfax
State
Virginia
Zip
22033
Phone Number
703-631-4007
Fax Number
703-631-4758
person
Provider Business Mailing Address Details
Address
13059 Fair Lakes Pkwy
City
Fairfax
State
Virginia
Zip
22033
Phone Number
703-631-4007
Fax Number
703-631-4758
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0202012188 (Virginia)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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