Healthcare Provider Details

I. General information

NPI: 1972425866
Provider Name (Legal Business Name): TANERIA LASHUN AUSTIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5678 CAPITAL CIR NW
TALLAHASSEE FL
32303-7933
US

IV. Provider business mailing address

33667 SKY BLOSSOM CIR
LEESBURG FL
34788-3327
US

V. Phone/Fax

Practice location:
  • Phone: 850-782-4766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: