Individual
DEVIN WINDOL TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 E RACE AVE, SEARCY, AR 72143-4330
(501) 279-1125
Mailing address
302 W WOODRUFF AVE, SEARCY, AR 72143-6723
(501) 388-6116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12409
AR
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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