Individual provider · Type 1 NPI

Jordan Tackett

Pharmacist · Pikeville, KY

NPI number 1184222358 Active

Practice location

911 Bypass Rd Bldg E
Pikeville, KY 41501-1689

Mailing address

640 Mare Crk
Stanville, KY 41659-9000

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X020231 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1184222358

Jordan Tackett's National Provider Identifier is 1184222358, issued on Oct 11, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pikeville, KY. The record was last updated on Oct 11, 2020.