| 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 |