DR. Jordan Tackett

NPI #1184222358 in Pikeville, Kentucky

Provider Information

NPI Number
1184222358
Entity Type
Individual
Name
DR. Jordan Tackett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 11, 2020
Last Updated
Oct 11, 2020

Practice Location

Address
911 BYPASS RD BLDG E
ZIP Code
41501-1689
Phone
(606) 218-3576

Specialties & Taxonomy Codes

Specialty
Pharmacist

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