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

DR. WALTER VON BROCK SIDWELL, PHARMD

Active Sole Proprietor

DR. WALTER VON BROCK SIDWELL, PHARMD is a Pharmacist healthcare provider located in DAPHNE, Alabama. NPI 1790394765 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · DAPHNE, AL

Registration Details

NPI Number
1790394765
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2020 (6.0486235537743 yrs)
Last Updated
Jul 27, 2020
Licenses
PSI40131 (FL)
S12081 (AL)
Sole Proprietor
Yes

Practice Information

Address
27955 US HIGHWAY 98 STE 1
DAPHNE, AL, 365264700
Browse AL providers · Browse ZIP 36526
Phone
2516261349
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in DAPHNE, AL

Name Credential NPI
DR. MICAH HALLECK MATHEWS PHARMD. 1083603294
MRS. ELIZABETH THOMAS R.PH. 1174630941
RICHARD CUNY R.PH. 1871604900
MARLENA KELLEY PHARMD 1760506216
JOHN S GREENE RPH 1053628818
DR. JOSH RANDALL COLEMAN PHARMD 1205128113
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.