Todd A Tackage

NPI #1518553833 in Jamestown, Ohio

Provider Information

NPI Number
1518553833
Entity Type
Individual
Name
Todd A Tackage
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 21, 2020
Last Updated
Dec 21, 2020

Practice Location

Address
4940 COTTONVILLE RD
State
Ohio
ZIP Code
45335-1522
Phone
(937) 675-6500

Specialties & Taxonomy Codes

Specialty
Pharmacist

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