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Individual
DR. ZACHARY TYLER TACKETT
Active
Individual
DR. ZACHARY TYLER TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
23996
NC
183500000X
Pharmacist
RP0008414
WV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
23996
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP0008414
WV
1835P1200X
Pharmacotherapy Pharmacist
RP0008414
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2011
Last updated
09/29/2014
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