IndividualActive
Jane Tennis, RPH, MBA
NPI 1104176726 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · O Fallon, MO
Provider details
- NPI number
- 1104176726
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- RPH, MBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0283146 (MO)
Mailing address
4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.