Alicia Lee Tackage

NPI #1184228405 in Washington Court House, Ohio

Provider Information

NPI Number
1184228405
Entity Type
Individual
Name
Alicia Lee Tackage
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Nov 27, 2020
Last Updated
Nov 27, 2020

Practice Location

Address
1795 COLUMBUS AVE
State
Ohio
ZIP Code
43160-1765
Phone
(740) 335-6162

Specialties & Taxonomy Codes

Specialty
Pharmacist

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