Individual
DR. JERROD TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7000 TIM PRICE WAY, NORTH CHESTERFIELD, VA 23225-6951
(540) 797-5943
Mailing address
14101 SUMMERCREEK PL, CHESTERFIELD, VA 23832-2435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214247
VA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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