Provider Demographics
NPI:1699446690
Name:HENSLEE, ROBERT C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:HENSLEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CROSSHILL CIR
Mailing Address - Street 2:
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180-5613
Mailing Address - Country:US
Mailing Address - Phone:205-936-1999
Mailing Address - Fax:205-648-4262
Practice Address - Street 1:2165 HIGHWAY 78 STE 102
Practice Address - Street 2:
Practice Address - City:DORA
Practice Address - State:AL
Practice Address - Zip Code:35062-4556
Practice Address - Country:US
Practice Address - Phone:205-648-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist