Individual
EDWIN V TENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10134 RIVER RD, POTOMAC, MD 20854-4903
(301) 299-8600
Mailing address
9745 GOOD LUCK RD APT 15, LANHAM, MD 20706-3322
(240) 505-7629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P23424
MD
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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