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Gayle M Tanenbaum, BS,RPH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Loganville, Georgia
NPI 1215326707

Gayle M Tanenbaum is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Loganville, GA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Gayle M Tanenbaum practices in Loganville, GA and has the professional credentials of BS,RPH. The NPI Number for Gayle M Tanenbaum is 1215326707 and holds a License No. RPH022160 (Georgia).

The current practice location address for Gayle M Tanenbaum is 1401 Bulloch Lake Ct, Loganville, GA and can be reached out via phone at 770-554-1429 and via fax at 770-544-0929.

Location: 1401 Bulloch Lake Ct, Loganville, GA, 30052-8649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215326707
Provider Name
Gayle M Tanenbaum
Credential
BS,RPH
Provider Entity Type
Individual
Gender
Female
Address
1401 Bulloch Lake Ct, Loganville, GA, 30052-8649
Phone Number
770-554-1429
Fax Number
770-544-0929
Provider Enumeration Date
01/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RPH022160 01 GA PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
1401 Bulloch Lake Ct
City
Loganville
State
Georgia
Zip
30052-8649
Phone Number
770-554-1429
Fax Number
770-544-0929
person
Provider Business Mailing Address Details
Address
1401 Bulloch Lake Ct
City
Loganville
State
Georgia
Zip
30052-8649
Phone Number
770-554-1429
Fax Number
770-544-0929
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
RPH022160 (Georgia)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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