NPI 1003411992

David M Tackitt, PHARMD

Practitioner Pharmacist Saint Louis, MO

Practice location

Address: 3925 Lindell Blvd, Saint Louis, MO 63108-3203
Phone: (314) 534-3853

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2006025279 (MO)

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Registry record

NPI: 1003411992
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2020
Record last updated: 1 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.