NPI 1104176726
Jane Tennis, RPHMBA
Practice location
- Address
- 543 Boulder River Dr, O Fallon, MO 63368-9666
- Phone
- (314) 651-4716
- Mailing address
- 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304-9101
Registered specialties
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
Registry record
- NPI
- 1104176726
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Sep 2012
- Record last updated
- 11 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.