Lartress Albert Tanner

NPI 1174850457 - Pharmacist - 183500000X

NPI Details
NPI 1174850457
Gender Male
Enumeration Date 11/07/2009
Last Updated 11/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4921 BRYANT IRVIN RD
FORT WORTH TX, 76132-3617, US
Phone (817) 292-5806
Fax (817) 292-5458
Business Location
4921 BRYANT IRVIN RD
FORT WORTH TX, 76132-3617, US
Phone (817) 292-5806
Fax (817) 292-5458
Toxanomy
Taxonomy Code 183500000X
License State Texas
License Number 26782
Remove 1174850457 NPI Number
 

According to our database, Mr. Lartress Albert Tanner NPI is 1174850457, taxonomy code is 183500000X and license number is 26782, license state is located at Texas. Lartress Albert Tanner physically located at 4921 Bryant Irvin Rd, Fort Worth TX, 76132-3617. NPI Number Lartress Albert Tanner has the Individual type.

Sponsored links

1174850457 NPI number is provided on an as is basis without warranty of any kind. 1174850457 is maintained by the National Plan & Provider Enumeration System. The contents of Lartress Albert Tanner are for informational purposes only.