NPI 1063833127

Brent Tackitt, PHARMD

Practitioner Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Saint Charles, MO

Practice location

Address: 1768 Winding Glen Dr, Saint Charles, MO 63303-5099
Phone: (618) 292-8476

Registered specialties

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary

Pharmacy Service Providers Taxonomy 1835P0018X Licence 2008029231 (MO)

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Registry record

NPI: 1063833127
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2013
Record last updated: 16 Dec 2013

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.