Individual
MRS. HEIDI RENEE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 N DIXON RD, KOKOMO, IN 46901-4097
(765) 457-1191
(765) 868-3184
Mailing address
207 N DIXON RD, KOKOMO, IN 46901-4131
(765) 452-9000
(765) 452-9633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020973A
IN
Other
Enumeration date
10/20/2006
Last updated
08/27/2025
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