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

CHARLES M TIDWELL

Active Organization

CHARLES M TIDWELL is a Pharmacist organization located in RIVERSIDE, California. NPI 1518338722 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · RIVERSIDE, CA

Registration Details

NPI Number
1518338722
Provider Type
Organization
NPI Issued
Oct 14, 2015 (10.851289347683 yrs)
Last Updated
Oct 14, 2015
License
38762 (CA)

Practice Information

Address
3975 JACKSON ST STE 111
RIVERSIDE, CA, 925033946
Browse CA providers · Browse ZIP 92503
Phone
9516377054
Fax
9516377056
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Organizations in RIVERSIDE, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.