| NPI | 1114629227 |
|---|---|
| Doing Business As | TIDALHEALTH HOME SCRIPTS NANTICOKE |
| Entity Type | Organization |
| Authorized Contact | DENISE W JESTER Director Accounting 302-297-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-01-09 |