Individual
MR. GARY A TENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
209-B NORTH MAYO TRAIL, PAINTSVILLE, KY 41240-0305
(606) 789-5995
(606) 788-9275
Mailing address
PO BOX 305, PAINTSVILLE, KY 41240-0305
(606) 789-5995
(606) 788-9275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011696
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011696
KENTUCKY STATE LICENSE
KY
Enumeration date
08/23/2006
Last updated
07/21/2022
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