Individual
KIMBERLY L TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
709 MALL BLVD, DEPARTMENT OF PHARMACY PRACTICE, SAVANNAH, GA 31406-4805
(912) 201-8144
Mailing address
709 MALL BLVD, DEPARTMENT OF PHARMACY PRACTICE, SAVANNAH, GA 31406-4805
(912) 201-8144
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
009639
SC
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH020209
GA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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