Individual
CHERYL LYNN TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
113 S FAIRFIELD ST, LIGONIER, PA 15658-1163
(724) 238-6988
(724) 238-7781
Mailing address
200 WESTVIEW DR, LIGONIER, PA 15658-8742
(724) 238-9791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038792R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0004234
PHARMACIST LICENSE
WV
01
—
RP038792R
PHARMACIST LICENSE
PA
Enumeration date
09/02/2006
Last updated
07/08/2007
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