Individual
LANCE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 BROADWAY AVE, PARKERSBURG, WV 26101-6952
(304) 485-4533
Mailing address
1800 BROADWAY AVE, PARKERSBURG, WV 26101-6952
(304) 485-4533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006418
WV
Other
Enumeration date
09/08/2020
Last updated
12/04/2020
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