Most Relevant Information
Provider Data
| NPI Number: | 1003519794 |
| Provider Name: | AUTUMN ROSE HENRY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH61400705 |
Most Important Dates
| Enumeration Date: | 03/23/2023 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
1600 E CHESTNUT AVE
YAKIMA
WA
989012174
Practice Location Phone/Fax
| Phone: | 5092483855 |
| Fax: |
Provider Mailing Location
1600 E CHESTNUT AVE
YAKIMA
WA
989012174
Provider Mailing Phone/Fax
| Phone: | 5092483855 |
| Fax: |