Individual
TERESA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
3012 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8180
(847) 336-1517
Mailing address
3012 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8180
(847) 336-1517
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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