Tidwell Pharmacy
Tidwell Pharmacy is a Pharmacy in Pearland, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
12280 Broadway St Bldg 4 Unit 4124Pearland, TX 77584-4352
Phone: (713) 884-8807
Fax: (713) 884-8824
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 23350 (TX) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1538295944 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ravishanker Mallapuram — Owner · (713) 884-8807 |
| Other names | Tidwell Pharmacy |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | October 11, 2024 |
| Mailing address | 12280 Broadway St Bldg 4 Unit 4124, Pearland, TX 77584-4352 |
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