| NPI | 1538471776 |
|---|---|
| Doing Business As | TACKETT PHARMACY AND NUTRITION CENTER |
| Entity Type | Organization |
| Authorized Contact | TARA PENNY PIC 817-341-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27110) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2016-06-09 |