NPI | 1538295944 |
---|---|
Doing Business As | TIDWELL PHARMACY |
Entity Type | Organization |
Authorized Contact | RAVISHANKER MALLAPURAM Owner 713-884-8807 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 23350) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-27 |
Last Update Date | 2024-10-11 |