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1225337561
TIMOTHY TIDWELL
MURFREESBORO, TN
NPI
1225337561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 6829)
Enumeration Date
2011-03-25
Last Update Date
2011-03-25
Business Address
-- TIMOTHY TIDWELL DPh
2449 OLD FORT PKWY
MURFREESBORO, TN 37128-4162
Phone number: 615-904-0365
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Mailing Address
-- TIMOTHY TIDWELL DPh
2449 OLD FORT PKWY
MURFREESBORO, TN 37128-4162
Phone number: 615-904-0365
Copy
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