Individual provider · Type 1 NPI

Jane Tennis, RPH, MBA

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · O Fallon, MO

NPI number 1104176726 Active

Practice location

543 Boulder River Dr
O Fallon, MO 63368-9666

Mailing address

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X0283146 (MO)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1104176726

Jane Tennis, RPH, MBA's National Provider Identifier is 1104176726, issued on Sep 11, 2012. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in O Fallon, MO. The record was last updated on Sep 11, 2012.