Individual
CALLIE TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
14845 FLADT RD, MARYSVILLE, OH 43040-9512
(937) 707-7309
Mailing address
14845 FLADT RD, MARYSVILLE, OH 43040-9512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03135478
OH
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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