Nicholas Tidwell, PHARM.D

NPI #1891243465 in Lake Mary, Florida

Provider Information

NPI Number
1891243465
Entity Type
Individual
Name
Nicholas Tidwell, PHARM.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM.D
Enumeration Date
Sep 13, 2016
Last Updated
Sep 13, 2016

Practice Location

Address
1521 OBERLIN TER
State
Florida
ZIP Code
32746-5937
Phone
(321) 274-7830

Specialties & Taxonomy Codes

Specialty
Pharmacist

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