Individual
JOLITA TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W NORTH ST, SPRINGFIELD, OH 45504-2607
(937) 324-5796
Mailing address
401 W NORTH ST, SPRINGFIELD, OH 45504-2607
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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