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Individual
DR. TELEATHA LORRAINE KEENAN
Active
Individual
DR. TELEATHA LORRAINE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13601
AZ
183500000X
Pharmacist
2938
WY
183500000X
Pharmacist
RP444198
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13601
ARIZONA STATE BOARD OF PHARMACY
AZ
01
—
2938
WYOMING STATE BOARD OF PHARMACY
WY
01
—
RP444198
PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
07/19/2010
Last updated
07/19/2010
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