| NPI | 1003406463 |
|---|---|
| Doing Business As | TANNER RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CAROL S. CREWS CFO 770-812-9745 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |