Individual
AMANDA TENHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 HIGHWAY 165, BRANSON, MO 65616-3464
(417) 339-3996
Mailing address
210 HIGHWAY 165, BRANSON, MO 65616-3464
(417) 339-3996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019033050
MO
Other
Enumeration date
01/10/2018
Last updated
03/25/2021
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