Individual
SUSAN LYNN TANTLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1410
(304) 769-0590
(304) 769-0596
Mailing address
101 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1410
(304) 769-0590
(304) 769-0596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005798
WV
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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