Individual
JANE TENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, MBA
Contact information
Practice address
543 BOULDER RIVER DR, O FALLON, MO 63368-9666
(314) 651-4716
Mailing address
4801 WELDON SPRING PKWY, WELDON SPRING, MO 63304-9101
(636) 441-7300
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0283146
MO
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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