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Lance Tennant

Pharmacist in Parkersburg, WV. Individual provider (NPI-1).

NPI number1497360366
StatusActive
Last updated in NPPESDec 4, 2020

Details

NPI
1497360366
Entity type
Individual (NPI-1)
Name
Lance Tennant
Sex
Male
Sole proprietor
No
Enumeration date
Sep 8, 2020
Certification date
Sep 11, 2020
Last updated
Dec 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP0006418WVYes

Practice location

1800 Broadway Ave
Parkersburg, WV 26101-6952

Phone 304-485-4533

Mailing address

1800 Broadway Ave
Parkersburg, WV 26101-6952

Phone 304-485-4533

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