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

DR. MYKEL LINN TIDWELL, PHARMD

Active Sole Proprietor

DR. MYKEL LINN TIDWELL, PHARMD is a Pharmacist healthcare provider located in MAYFIELD, Kentucky. NPI 1063782399 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MAYFIELD, KY

Registration Details

NPI Number
1063782399
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2012 (14.572195295649 yrs)
Last Updated
Sep 27, 2024
License
015489 (KY)
Sole Proprietor
Yes

Practice Information

Address
1520 CUBA RD
MAYFIELD, KY, 420666809
Browse KY providers · Browse ZIP 42066
Phone
2707051141
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MAYFIELD, KY

Name Credential NPI
DR. DANIEL LEE JONES PHARMD 1811994874
DR. JAMES BISHOP WILSON PHARMD 1174519631
MRS. CHRISTY MARIE BAKER PHARM.D., MBA 1033319595
JESSICA LAMB 1235412016
MRS. DORIS ELAINE STONE R. PH. 1235497173
ERICA NICOLE MELTON PHARMD 1275924052
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.