Tabitha Marie Tidwell, PHARM D

NPI #1164928057 in Fairview, Tennessee

Provider Information

NPI Number: 1164928057
Entity Type: Individual
Name: Tabitha Marie Tidwell, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Apr 1, 2018
Last Updated: Apr 1, 2018

Practice Location

Address: 7100 HOPGOOD RD
City: Fairview
State: Tennessee
ZIP Code: 37062-1414
Phone: (615) 387-7023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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