Individual
SHANNON MARIE TENHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FELLSWAY, MEDFORD, MA 02155-4925
(781) 391-2668
Mailing address
590 FELLSWAY, MEDFORD, MA 02155-4925
(781) 391-2668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
240444
MA
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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