CROCKETT TIDWELL

LUBBOCK, TX
NPI1013319714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX  38448)
Enumeration Date2014-09-24
Last Update Date2014-09-24
Business Address
Mr. CROCKETT TIDWELL RPh
4205 98TH ST
LUBBOCK, TX 79423-3971
Phone number: 806-798-6115
Mailing Address
Mr. CROCKETT TIDWELL RPh
4205 98TH ST
LUBBOCK, TX 79423-3971
Phone number: 806-798-6115
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