# DR. ZACHARY TYLER TACKETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922392802
- **Gender:** Man
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 23996 | NC | — |
| 183500000X | Pharmacist | RP0008414 | WV | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 23996 | NC | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RP0008414 | WV | Yes |
| 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