Tina Shidal

NPI #1235550070 in Paducah, Kentucky

Provider Information

NPI Number
1235550070
Entity Type
Individual
Name
Tina Shidal
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 20, 2013
Last Updated
Dec 20, 2013

Practice Location

Address
1530 LONE OAK RD
ZIP Code
42003-7901
Phone
(270) 444-2270

Specialties & Taxonomy Codes

Specialty
Pharmacist

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