Individual provider · Type 1 NPI
Jack Ellis Tanner, RPHR
Pharmacist · Americus, GA
Practice location
1206 Crawford St
Americus, GA 31709-3277
Fax (229) 931-9864
Mailing address
PO Box 285, 122 West College St
Ellaville, GA 31806-0285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 013950 (GA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
2 other providers at this address
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- Michael Christopher Lytle, PharmDPharmacist Americus, GA NPI 1184168502
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About NPI 1215024864
Jack Ellis Tanner, RPHR's National Provider Identifier is 1215024864, issued on Oct 6, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Americus, GA. The record was last updated on Jul 8, 2007.