Healthcare Provider Details

I. General information

NPI: 1043815939
Provider Name (Legal Business Name): TAMMI LAMAR PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 12/07/2025
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 RICHARD B RUSSELL PKWY
WARNER ROBINS GA
31088-8657
US

IV. Provider business mailing address

PO BOX 5589
MACON GA
31208-5589
US

V. Phone/Fax

Practice location:
  • Phone: 478-953-0888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number018772
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: