MR. George Tackett, RPH

NPI #1699057398 in Elyria, Ohio

Provider Information

NPI Number: 1699057398
Entity Type: Individual
Name: MR. George Tackett, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 19, 2011
Last Updated: Sep 19, 2011

Practice Location

Address: 100 CLEVELAND ST
City: Elyria
State: Ohio
ZIP Code: 44035-6138
Phone: (440) 322-7604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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