Lucien Stephen Tancil, R.PH., MS. Valid NPI
Individual provider · Pharmacist · Conyers, GA
- NPI
- 1053306852
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH020109 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-18
- Last updated
- 2007-07-08
Practice location
2051 Eagle Ridge Dr Sw
Conyers, GA 30094-3379
(770) 853-1527