Tackett, Celia Renee
Tackett, Celia Renee is an individual health care provider with primary practice located at 105 E Elkhorn St , Elkhorn City KY 41522-8557. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tackett, Celia Renee can be contacted via phone (606) 754-0221.Contact Information
Primary practice address
105 E Elkhorn St
Elkhorn City KY 41522-8557
Phone: (606) 754-0221
Fax: (606) 754-0225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 015482 | Kentucky |
Profile Details
| NPI number | 1225393374 |
|---|---|
| LBN Legal business name | Tackett, Celia Renee |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2012 |
| Last updated | Oct 21st, 2020 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225393374 | NPPES |
| Kentucky | Other | 015482 | STATE LICENSE |
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