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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CROCKETT TIDWELL, RPH

Active

MR. CROCKETT TIDWELL, RPH is a Pharmacist Clinician (PhC) healthcare provider located in LUBBOCK, Texas. NPI 1013319714 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · LUBBOCK, TX

Registration Details

NPI Number
1013319714
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2014 (11.867923486852 yrs)
Last Updated
Sep 24, 2014
License
38448 (TX)

Practice Information

Address
4205 98TH ST
LUBBOCK, TX, 794233971
Browse TX providers · Browse ZIP 79423
Phone
8067986115
Fax
8067986117
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in LUBBOCK, TX

Name Credential NPI
SARAH SINGH CHILCOTE PHARM.D., RPH 1316921273
MR. CLARK HANEY WELLS R.PH. 1912272766
DR. KIM POWELL PHARMD 1821334517
DR. TRACEY D CARRUTHERS PHARMD 1407291636
JUDE MUNDI FONDOH RPH 1992316616
DR. CALLIE FLORES PHARMD 1114531290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.