Provider Demographics
NPI:1235854860
Name:HENRY, ANDREA COLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:COLE
Last Name:HENRY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 RAINTREE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7094
Mailing Address - Country:US
Mailing Address - Phone:281-389-4336
Mailing Address - Fax:
Practice Address - Street 1:1100 LAKE WOODLANDS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3221
Practice Address - Country:US
Practice Address - Phone:281-419-6944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist