Gayle M Tanenbaum, BS, RPH - Pharmacist in Loganville, GA

Gayle M Tanenbaum, BS, RPH is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Loganville, Georgia. Gayle M Tanenbaum is licensed to practice in Georgia (license number RPH022160) and her current practice location is 1401 Bulloch Lake Ct, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 554-1429.

NPI number for Gayle M Tanenbaum is 1215326707 and her current mailing address is 1401 Bulloch Lake Ct, Loganville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215326707.

Contact Information

Gayle M Tanenbaum, BS, RPH
1401 Bulloch Lake Ct,
Loganville, GA 30052-8649
(770) 554-1429
(770) 544-0929

Map and Direction


Healthcare Provider's Profile

Full NameGayle M Tanenbaum
GenderFemale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location1401 Bulloch Lake Ct, Loganville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215326707
  • Provider Enumeration Date: 01/21/2015
  • Last Update Date: 01/21/2015

Medical Identifiers

Medical identifiers for Gayle M Tanenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215326707NPI-NPPES
RPH022160OtherGAPHARMACIST LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist RPH022160 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gayle M Tanenbaum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gayle M Tanenbaum, BS, RPH
1401 Bulloch Lake Ct,
Loganville, GA 30052-8649

Ph: (770) 554-1429
Gayle M Tanenbaum, BS, RPH
1401 Bulloch Lake Ct,
Loganville, GA 30052-8649

Ph: (770) 554-1429

Reviews and Comments


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