Individual
TENERICA LASHION MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
2401 S 31ST ST # MSAG407P, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
65685
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
09/13/2023
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