Individual
DR. CHRISTOPHER A TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD RPH
Contact information
Practice address
2900 MAIN ST, GLASTONBURY, CT 06033-1027
(860) 633-4186
(860) 633-4518
Mailing address
2900 MAIN ST, GLASTONBURY, CT 06033-1027
(860) 633-4186
(860) 633-4518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT. 0013741
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT. 0013741
CT PHARMACIST REGISTRATION
CT
Enumeration date
07/13/2016
Last updated
07/13/2016
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