Individual
TANNER GEORGE CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1617 MANUFACTURERS DR, FENTON, MO 63026-2838
(314) 690-4500
(314) 690-4502
Mailing address
1617 MANUFACTURERS DR, FENTON, MO 63026-2838
(314) 690-4500
(314) 690-4502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016044374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016044374
PHARMACIST LICENSE NUMBER
MO
Enumeration date
03/03/2021
Last updated
03/03/2021
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