Provider Demographics
NPI:1376846311
Name:TARKETT, NATALIE ARLENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ARLENE
Last Name:TARKETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WATERCRESS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-2602
Mailing Address - Country:US
Mailing Address - Phone:319-610-0468
Mailing Address - Fax:
Practice Address - Street 1:1556 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5124
Practice Address - Country:US
Practice Address - Phone:319-366-2239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist