Search › Missouri › 172V00000X
Tiffany Pender
NPI 1053028027 · on the registry since 2022
Practice
- Address
- 1117 Main St
Imperial, MO 63052 - Phone
- (636) 464-1100
- Organisation at this address
- Pharmax Mw Inc.
Pharmax Mw Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 183700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri