Provider Demographics
NPI:1285695536
Name:HENTY, JOHN CLIFFORD (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CLIFFORD
Last Name:HENTY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 SUTTON RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5134
Mailing Address - Country:US
Mailing Address - Phone:717-741-1413
Mailing Address - Fax:717-741-1413
Practice Address - Street 1:2720 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-9701
Practice Address - Country:US
Practice Address - Phone:717-741-5973
Practice Address - Fax:717-747-5461
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029344L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist