NPI 1013319714

Crockett Tidwell, RPH

Practitioner Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Lubbock, TX

Practice location

Address: 4205 98th St, Lubbock, TX 79423-3971
Phone: (806) 798-6115
Fax: (806) 798-6117

Registered specialties

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary

Pharmacy Service Providers Taxonomy 1835P0018X Licence 38448 (TX)

Other Pharmacist providers in Texas →

Registry record

NPI: 1013319714
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2014
Record last updated: 24 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.