Provider Demographics
NPI:1336237064
Name:TARRANTS, PAUL WAYNE (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:WAYNE
Last Name:TARRANTS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 TIMBERHILL CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1738
Mailing Address - Country:US
Mailing Address - Phone:865-966-2716
Mailing Address - Fax:865-675-6631
Practice Address - Street 1:301 TIMBERHILL CT
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1738
Practice Address - Country:US
Practice Address - Phone:865-966-2716
Practice Address - Fax:865-675-6631
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist