Jack Ellis Tanner in Ellaville - Pharmacist
Jack Ellis Tanner - NPI 1215024864
Jack Ellis Tanner is a Pharmacist in Ellaville, Georgia. Jack Ellis Tanner practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jack Ellis Tanner is 1215024864. The last update date is 2007-07-08.
Jack Ellis Tanner's current location address is Po Box 285, Ellaville, Georgia. You can contact this provider via phone number 2299379105 and fax number 2299319864. The mailing address for Jack Ellis Tanner is Po Box 285, Ellaville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Ellis Tanner |
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Address | Po Box 285, Ellaville, Georgia |
Phone Number | 2299379105 |
Fax Number | 2299319864 |
Sole Proprietor | Y |
Credentials | RPHR |
NPI Number Detail
NPI Number | 1215024864 |
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Provider Enumeration Date | 2006-10-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 285 |
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City | Ellaville |
State | Georgia (GA) |
Post Code | 318060285 |
Phone Number | 2299379105 |
Fax Number | 2299319864 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 13950 |
Definition: 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 m |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Ellis Tanner?
The Jack Ellis Tanner has been issued the NPI (National Provider Identifier) 1215024864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Ellis Tanner's facilities are geographically located?
The facilities of Jack Ellis Tanner are physically situated at the following location: Po Box 285, Ellaville, GA, 318060285.
What is Jack Ellis Tanner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack Ellis Tanner is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215024864 to Jack Ellis Tanner?
The Jack Ellis Tanner received its 1215024864 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.
As of what date were the details pertaining to Jack Ellis Tanner last refreshed?
The information related to the Jack Ellis Tanner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.