Charles M Tidwell
Charles M Tidwell is a Pharmacist in Riverside, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
3975 Jackson St Ste 111Riverside, CA 92503-3946
Phone: (951) 637-7054
Fax: (951) 637-7056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 38762 (CA) |
|---|
Record details
| NPI number | 1518338722 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Tidwell — Pharmacist · (951) 637-7054 |
| NPI enumerated | October 14, 2015 |
| Last updated in NPPES | October 14, 2015 |
| Mailing address | 3975 Jackson St Ste 111, Riverside, CA 92503-3946 |
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