Individual
DR. CHANDACE B TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
538 MYRTLE WOOD LN, JOHNSONVILLE, SC 29555-6602
(843) 386-9080
Mailing address
PO BOX 563, JOHNSONVILLE, SC 29555-0563
(843) 386-9080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010298
SC
Other
Enumeration date
05/31/2007
Last updated
08/09/2013
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