Individual
MRS. AMY ELIZABETH TETRO-WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
24585 STONE CARVER DR STE 175, ALDIE, VA 20105-2798
(571) 367-3914
(703) 542-6788
Mailing address
24585 STONE CARVER DR STE 175, ALDIE, VA 20105-2798
(571) 367-3914
(703) 542-6788
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0202215239
VA
3336C0003X
Community/Retail Pharmacy
18446
MD
3336C0003X
Community/Retail Pharmacy
RP00005569
WV
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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