Tanner, David J

Tanner, David J is an sole proprietor health care provider with primary practice located at 200 W Main St , Jackson TN 38301-6114. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tanner, David J can be contacted via phone (731) 427-1528.

Contact Information

Primary practice address
200 W Main St Jackson TN 38301-6114
Phone: (731) 427-1528
Fax: (731) 423-4590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3629 Tennessee

Profile Details

NPI number 1497806434
LBN Legal business name Tanner, David J
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497806434 NPPES
Tennessee Other 4406977 N.C.P.D.P.
Tennessee MEDICAID 3534364 N.C.P.D.P.

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