Individual
DR. JACALYN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1179 AZ-260, COTTONWOOD, AZ 86326
(928) 634-2147
Mailing address
1179 AZ-260, COTTONWOOD, AZ 86326
(518) 496-5929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023001
AZ
Other
Enumeration date
09/16/2017
Last updated
10/06/2022
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