Individual
MRS. STEPHANIE HERENDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2622 MADISON ST STE A, CLARKSVILLE, TN 37043-6549
(931) 919-2491
Mailing address
2622 MADISON ST STE A, CLARKSVILLE, TN 37043-6549
(931) 919-2491
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
32946
TN
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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