Staci Tackett, PHARM D

NPI 1881071918 · on the registry since 2015

Practice

Address: 1500 E Downing St
Tahlequah, OK 74464
Phone: (918) 453-5655
Fax: (918) 431-4148
Organisation at this address: Eaglemed Llc
Tmc Pharmacy Inc
Raji M Gill Do Pc
James R Brixey Do Pc
Med-Trans Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma