MYKEL LINN TIDWELL

MAYFIELD, KY
NPI1063782399
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KY  015489)
Enumeration Date2012-01-04
Last Update Date2024-09-27
Business Address
Dr. MYKEL LINN TIDWELL PharmD
1520 CUBA RD
MAYFIELD, KY 42066-6809
Phone number: 270-705-1141
Mailing Address
Dr. MYKEL LINN TIDWELL PharmD
66 LAKE TERRY DR
MAYFIELD, KY 42066-6982
Phone number: 270-705-1141