Provider Demographics
NPI:1376716258
Name:TERHUNE, RENEE ANN (RPH)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:ANN
Last Name:TERHUNE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7033 RIDGE AVE
Mailing Address - Street 2:APT 4B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3253
Mailing Address - Country:US
Mailing Address - Phone:267-972-7284
Mailing Address - Fax:
Practice Address - Street 1:7972 CASTOR AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3224
Practice Address - Country:US
Practice Address - Phone:215-728-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043944L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist