Individual
JOHN T TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8050 HIGHWAY 72 W, MADISON, AL 35758-9567
(256) 830-1630
(256) 830-2206
Mailing address
8050 HIGHWAY 72 W, MADISON, AL 35758-9567
(256) 830-1630
(256) 830-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9986
AL
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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