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Ashley N Tanner I I I — NPI 1629026109, Jackson, TN | NPI Central

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NPI 1629026109

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Ashley N Tanner I I I

NPI 1629026109 · Community/Retail Pharmacy · Jackson, TN

Provider details

NPI number: 1629026109
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Ashley Tanner, Pharmacist(731) 427-1528
License: 000000690 (TN)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 000000690 (TN)
Suppliers

Practice location

200 W Main St

Jackson, TN 38301-6114

Phone: (731) 427-1528

Fax: (731) 423-4590

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

200 W Main St

Jackson, TN 38301-6114

Other names (DBA / former)

Doing business as: Baker Drug Store

Registry dates

Enumerated: 2006-05-05
Last updated: 2008-06-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.