Individual
DR. TANNER WAYNE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1368 HIGDON FERRY RD, HOT SPRINGS, AR 71913-6411
(501) 625-7212
(501) 625-7213
Mailing address
5707 RED LEAF, BENTON, AR 72019-7050
(940) 368-7185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13633
AR
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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