Most Relevant Information
Provider Data
| NPI Number: | 1003411992 |
| Provider Name: | DAVID M TACKITT PHARM. D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 2006025279 |
Most Important Dates
| Enumeration Date: | 12/01/2020 |
| Last Updated: | 12/01/2020 |
Provider Practice Location
3925 LINDELL BLVD
SAINT LOUIS
MO
631083203
Practice Location Phone/Fax
| Phone: | 3145343853 |
| Fax: |
Provider Mailing Location
3925 LINDELL BLVD
SAINT LOUIS
MO
631083203
Provider Mailing Phone/Fax
| Phone: | 3145343853 |
| Fax: |