Provider Demographics
NPI:1174011639
Name:HAND, TESS ELIZABETH
Entity Type:Individual
Prefix:
First Name:TESS
Middle Name:ELIZABETH
Last Name:HAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TESS
Other - Middle Name:ELIZABETH
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2160 COMMERCE RD
Mailing Address - Street 2:
Mailing Address - City:GOODLAND
Mailing Address - State:KS
Mailing Address - Zip Code:67735-9776
Mailing Address - Country:US
Mailing Address - Phone:785-899-2266
Mailing Address - Fax:
Practice Address - Street 1:2160 COMMERCE RD
Practice Address - Street 2:
Practice Address - City:GOODLAND
Practice Address - State:KS
Practice Address - Zip Code:67735-9776
Practice Address - Country:US
Practice Address - Phone:785-899-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-103138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist