Individual provider · Type 1 NPI

Nathan Tillis, PHARM. D.

Pharmacist · Green Cove Springs, FL

NPI number 1578897658 Active

Practice location

2851 Henley Rd, Winn Dixie
Green Cove Springs, FL 32043-7204

Call (904) 899-6902 Map

Fax (904) 291-3288

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS34236 (FL)
Pharmacist 183500000XRPH020986 (GA)
Pharmacist 183500000XPH00053534 (WA)

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…

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About NPI 1578897658

Nathan Tillis, PHARM. D.'s National Provider Identifier is 1578897658, issued on Sep 23, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Green Cove Springs, FL. The record was last updated on Mar 3, 2013.