William Lawrence Henderson, PHARMD
Individual provider Active NPI Pharmacist · Fallston, MD
NPI 1336737808 · NPPES record last updated Jan 9, 2021
Key facts
- NPI
- 1336737808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24298 (MD)
- Practice address
- 1911 Bel Air Rd
Fallston, MD 21047-2723 - Phone
- (410) 877-0611
- Fax
- (410) 877-0611
- NPI assigned
- Jan 9, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26026790A | IN | MD | Pharmacist |
| 24298 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Air Medicines Inc | Current |
Accepting new patients |
Locations
1911 Bel Air Rd
Fallston, MD 21047
Phone (410) 877-0611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026790A | IN | |
| Pharmacist | 183500000X | 24298 | MD | Yes |
Addresses
Primary practice location
1911 Bel Air Rd
Fallston, MD 21047-2723
Mailing address
1911 Bel Air Rd
Fallston, MD 21047-2723
Phone (410) 877-0611
Other providers in Fallston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.