Provider Demographics
NPI:1760557557
Name:TENHET, CHARLES TERRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:TERRY
Last Name:TENHET
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:706 BEECHWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-4074
Mailing Address - Country:US
Mailing Address - Phone:606-862-7167
Mailing Address - Fax:606-598-1887
Practice Address - Street 1:509 MEMORIAL DRIVE SUITE 1
Practice Address - Street 2:MEDI CENTER DRUGS, INC.
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962
Practice Address - Country:US
Practice Address - Phone:606-598-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY611237389OtherTAXIDNUMBER