MR. Jack Ellis Tanner, RPHR

NPI #1215024864 in Americus, Georgia

Provider Information

NPI Number
1215024864
Entity Type
Individual
Name
MR. Jack Ellis Tanner, RPHR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPHR
Enumeration Date
Oct 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1206 CRAWFORD ST
State
Georgia
ZIP Code
31709-3277
Phone
(229) 931-0271

Specialties & Taxonomy Codes

Specialty
Pharmacist

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