Mark A Tackett
Community/Retail Pharmacy
138 College Park Dr Ste 130, Weatherford
Texas, 76086-6372
817-341-7046 817-341-7380
Mark A Tackett is a Community/Retail Pharmacy in Weatherford, Texas. It is located at 138 College Park Dr Ste 130, Weatherford and it's customer support contact number is 817-341-7046. The authorized person of Mark A Tackett is Tara Penny, PHARM D who is Pic of the pharmacy and his contact number is 817-341-7046. Active license number of Mark A Tackett is 27110 for Community/Retail Pharmacy in Texas. Mark A Tackett accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mark A Tackett is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Mark A Tackett type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mark A Tackett |
| Type: | Community/Retail Pharmacy |
| Location: | 138 College Park Dr Ste 130, Weatherford,
Texas, 76086-6372 |
| Phone: | 817-341-7046 |
| Fax: | 817-341-7380 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tara Penny |
| Credentials: | PHARM D |
| Position: | Pic |
| Contact Number: | 817-341-7046 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1538471776 |
| NPI Enumeration Date: | 03 Jul, 2010 |
| NPI Last Update On: | 09 Jun, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A Tackett are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 27110 | Texas | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 148282 | Medicaid | Texas | |
| 2125348 | Other | | Pk |
Medicare Enrollment:
Mark A Tackett is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3072790088 | O20120314000743 | Mark A Tackett | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 138 College Park Dr Ste 130,
Weatherford, Texas |
| Zip: | 76086-6372 |
| Phone Number: | 817-341-7046 |
| Fax Number: | 817-341-7380 |
Patients can reach Mark A Tackett at
138 College Park Dr Ste 130, Weatherford, Texas or can
call on customer care at 817-341-7046.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.