Darren Tidwell, DPH

NPI #1346478765 in Wilburton, Oklahoma

Provider Information

NPI Number: 1346478765
Entity Type: Individual
Name: Darren Tidwell, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Jun 24, 2009
Last Updated: Mar 5, 2021

Practice Location

Address: 225 W MAIN ST
City: Wilburton
State: Oklahoma
ZIP Code: 74578-4045
Phone: (918) 465-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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