Individual
ALICIA LEE TACKAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1795 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1765
(740) 335-6162
(740) 335-1618
Mailing address
1795 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1765
(740) 335-6162
(740) 335-1618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03221401
OH
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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