Individual
JESSALYN ELISE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E. RACE AVE, SEARCY, AR 72143
(501) 279-1125
(501) 279-1334
Mailing address
200 E. RACE AVE, SEARCY, AR 72143
(501) 279-1125
(501) 279-1334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15088
AR
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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