Provider Demographics
NPI:1154937043
Name:TARNUE, HENRY YARKPAWOLO (PHARM D)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:YARKPAWOLO
Last Name:TARNUE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-4666
Mailing Address - Country:US
Mailing Address - Phone:763-271-1101
Mailing Address - Fax:
Practice Address - Street 1:1447 E 7TH ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-4666
Practice Address - Country:US
Practice Address - Phone:763-271-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS124508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist