Provider Demographics
NPI:1083915037
Name:KENDRICK, BIRDENA (RPH)
Entity Type:Individual
Prefix:
First Name:BIRDENA
Middle Name:
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 4TH ST SW STE 150
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4451
Mailing Address - Country:US
Mailing Address - Phone:202-719-2500
Mailing Address - Fax:202-719-2504
Practice Address - Street 1:1100 4TH ST SW STE 150
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4451
Practice Address - Country:US
Practice Address - Phone:202-719-2500
Practice Address - Fax:202-719-2504
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist