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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