Provider Demographics
NPI:1386244838
Name:HENSON, DANA L (PHARMD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:HENSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3958 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-7609
Mailing Address - Country:US
Mailing Address - Phone:501-766-3466
Mailing Address - Fax:
Practice Address - Street 1:4 EXECUTIVE CENTER CT STE A
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4487
Practice Address - Country:US
Practice Address - Phone:501-712-4395
Practice Address - Fax:501-712-4191
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist