| Doctor Name: | CHRIS CHARLES HENINGTON |
| NPI Number: | 1043591647 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARMACIST |
| License Number: | 1-13153 |
| Business Practice Address: | 4101 S 4th St Dwight Eisenhower Va Medical Center Leavenworth, KS - 660485014 |
| Business Phone Number: | 9136822000 |
| Business Fax Number: | 9137586944 |
| Mailing Address: | 4101 S 4th St Trafficway, Va Medical Center LEAVENWORTH |
| State: | KS |
| Postal Code: | 66048 |
| Phone Number: | 9136822000 |
| Fax Number: | 9137586944 |
| NPI Enumeration Date: | 09/09/2011 |
| NPI Last Update Date: | 09/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 1-13153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |