Individual
TARA PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
804 E HIGHWAY 190, COPPERAS COVE, TX 76522-2254
(254) 547-9755
(254) 547-9858
Mailing address
804 E HIGHWAY 190, COPPERAS COVE, TX 76522-2254
(254) 547-9755
(254) 547-9858
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
45228
TX
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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