Individual
DR. GARRICK TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
12750 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4318
(757) 833-0339
Mailing address
12750 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4318
(757) 833-0339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208499
VA
Other
Enumeration date
12/07/2011
Last updated
02/28/2013
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