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1184222358
JORDAN TACKETT
PIKEVILLE, KY
NPI
1184222358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 020231)
Enumeration Date
2020-10-11
Last Update Date
2020-10-11
Business Address
Dr. JORDAN TACKETT
911 BYPASS RD BLDG E
PIKEVILLE, KY 41501-1689
Phone number: 606-218-3576
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Mailing Address
Dr. JORDAN TACKETT
640 MARE CRK
STANVILLE, KY 41659-9000
Phone number:
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