Organization
ASHLEY N TANNER I I I
Active
Other names
Baker Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHLEY TANNER III (PHARMACIST)
(731) 427-1528
Entity
Organization
Contact information
Practice address
200 W MAIN ST, JACKSON, TN 38301-6114
(731) 427-1528
(731) 423-4590
Mailing address
200 W MAIN ST, JACKSON, TN 38301-6114
(731) 427-1528
(731) 423-4590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
000000690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3534364
—
TN
01
—
4406977
NCPDP
TN
Enumeration date
05/05/2006
Last updated
06/17/2008
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