Individual
DR. EUGENIA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6042 E 43RD ST, INDIANAPOLIS, IN 46226-3402
(317) 453-0917
Mailing address
6042 E 43RD ST, INDIANAPOLIS, IN 46226-3402
(317) 453-0917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024195A
IN
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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