IndividualActive
Matthew Tanner, PHARMD
NPI 1144865056 · Pharmacist · Pearson, GA
Provider details
- NPI number
- 1144865056
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- RPH027213 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
646 Main St N
Pearson, GA 31642-7549
Phone: (912) 422-3631
Fax: (912) 422-6104
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 608
Pearson, GA 31642-0608
Additional practice locations (1)
- 1919 Alice StWaycross, GA 31501-6207Phone: (912) 592-4424
Registry dates
- Enumerated
- 2019-11-14
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.