Individual
DR. VINCENT TANNER TABARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
12200 W 95TH ST, LENEXA, KS 66215-3806
(913) 894-2093
Mailing address
12200 W 95TH ST, LENEXA, KS 66215-3806
(913) 894-2093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107053
KS
Other
Enumeration date
08/12/2022
Last updated
05/20/2025
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