Individual
TANNER BURKE CORSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
310 S 1ST ST, EUFAULA, OK 74432-3202
(918) 388-7498
Mailing address
38 STONEY SPRING CV, EUFAULA, OK 74432-5900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14742
OK
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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