Individual
MRS. TRACY J TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7523
(402) 644-7267
Mailing address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7523
(402) 644-7267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10285
NE
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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