Tackett Pharmacy

NPI #1215022975 in Willow Park, Texas

Provider Information

NPI Number
1215022975
Entity Type
Organization
Organization Name
Tackett Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 4, 2006
Last Updated
Jul 21, 2008

Practice Location

Address
132 EL CHICO TRL
State
Texas
ZIP Code
76087-8865
Phone
(817) 441-7046

Authorized Official

Name
MARK ANDREW TACKETT, PHARMACIST
Title
OWNER PHARMACIST IN CHARGE
Phone
(817) 694-7360

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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