Healthcare Provider Details

I. General information

NPI: 1871900738
Provider Name (Legal Business Name): TAMMY GLEASON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 IOWA ST
LAWRENCE KS
66046-5206
US

IV. Provider business mailing address

3300 IOWA ST
LAWRENCE KS
66046-5206
US

V. Phone/Fax

Practice location:
  • Phone: 785-842-0177
  • Fax: 785-842-0178
Mailing address:
  • Phone: 785-842-0177
  • Fax: 785-842-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14345
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number1-14345
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: