Tackaberry, Diane
Tackaberry, Diane is an sole proprietor health care provider with primary practice located at 1101 Chess Dr Ste B , Foster City CA 94404-1102. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tackaberry, Diane can be contacted via phone (650) 503-6371.Contact Information
Primary practice address
1101 Chess Dr Ste B
Foster City CA 94404-1102
Phone: (650) 503-6371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 42516 | California |
Profile Details
| NPI number | 1497106421 |
|---|---|
| LBN Legal business name | Tackaberry, Diane |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Apr 11th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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