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
- City
- Willow Park
- 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 Pharmacy — Community/Retail Pharmacy |
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