Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Tidaback, RPH

Individual provider Pharmacist · NPI 1255329710

Jack Tidaback, RPH is a Pharmacist in Sidney, Montana. Licensed in Montana. Registered with an NPI since 2005.

Licensed in
MT
In the registry since
2005
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

214 14th Ave SW
Sidney, MT 59270-3521
Phone: (406) 488-6563
Fax: (406) 488-2231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3118 (MT)

Record details

NPI number1255329710
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedOctober 10, 2005
Last updated in NPPESJuly 13, 2026
Mailing address214 14th Ave Sw, Sidney, MT 59270-3521

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