Tackett Pharmacy And Nutrition Center
LBN: Mark A Tackett
Tackett Pharmacy And Nutrition Center is an health care organization with primary practice located at 138 College Park Dr Ste 130 , Weatherford TX 76086-6372. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mark A Tackett can be contacted via phone (817) 341-7046, or through Penny, Tara via phone (817) 341-7046.
Contact Information
Primary practice address
138 College Park Dr Ste 130
Weatherford TX 76086-6372
Phone: (817) 341-7046
Fax: (817) 341-7380
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 27110 | Texas |
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1538471776 |
---|---|
LBN Legal business name | Mark A Tackett |
DBA Doing business as | Tackett Pharmacy And Nutrition Center |
Authorized official | Penny, Tara PHARM D |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 3rd, 2010 |
Last updated | Jun 9th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538471776 | NPPES |
Texas | MEDICAID | 148282 | |
Texas | Other | 2125348 |
Popular Providers
-
Genoa Healthcare Llc
1715 Santa Fe Dr Rm P , Weatherford TX 76086-6419 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Pharmprorx Llc
1105 Santa Fe Dr Ste 107, Weatherford TX 76086-5811 -
Davis City Pharmacy,Inc
111 Trinity St , Weatherford TX 76086-3358 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Brookshire Grocery Company
601 Palo Pinto St Attention Pharmacy Dept, Weatherford TX 76086-4129 -
Lone Star Pain Medicine Pllc
907 Eureka St Ste B , Weatherford TX 76086-5880