NPI 1053306852

Lucien Stephen Tancil, RPHMS

Practitioner Pharmacist Conyers, GA

Practice location

Address: 2051 Eagle Ridge Dr SW, Conyers, GA 30094-3379
Phone: (770) 853-1527

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH020109 (GA)

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Registry record

NPI: 1053306852
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.