CHARLES BLAIR TIDMARSH

MAULDIN, SC
NPI1770644429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: SC  004079)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
Mr. CHARLES BLAIR TIDMARSH RPh
505 N MAIN ST
MAULDIN, SC 29662-2345
Phone number: 864-288-2600
Mailing Address
Mr. CHARLES BLAIR TIDMARSH RPh
104 CHANTEMAR
SIMPSONVILLE, SC 29681-5101
Phone number: 864-458-8699
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