Jessica Nicole Tanner, PHARMD

NPI #1497563696 in Corbin, Kentucky

Provider Information

NPI Number: 1497563696
Entity Type: Individual
Name: Jessica Nicole Tanner, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 20, 2024
Last Updated: Dec 20, 2024

Practice Location

Address: 14949 N US HIGHWAY 25 E
City: Corbin
State: Kentucky
ZIP Code: 40701-6285
Phone: (606) 280-4212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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