Tackett Pharmacy
NPI #1114053931 in Willow Park, Texas
Provider Information
- NPI Number
- 1114053931
- Entity Type
- Organization
- Organization Name
- Tackett Pharmacy
- Primary Specialty
- Pharmacist
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 132 EL CHICO TRL
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76087-8865
- Phone
- (817) 441-7046
Authorized Official
- Name
- MR. MARK TACKETT
- Title
- PHARMACIST
- Phone
- (817) 441-7046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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