| NPI | 1871031559 |
|---|---|
| Doing Business As | TIDALHEALTH SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN JORDAN Senior Director Of Pharmacy 410-543-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2024-02-02 |