Individual
KIM L TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH BCOP
Contact information
Practice address
2790 LAKE VISTA DR, LEWISVILLE, TX 75067-3884
(972) 459-1390
(972) 459-1391
Mailing address
2790 LAKE VISTA DR, LEWISVILLE, TX 75067-3884
(972) 459-1390
(972) 459-1391
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
33059
TX
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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