Individual provider · Type 1 NPI

Crockett Tidwell, RPH

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

NPI number 1013319714 Active

Practice location

4205 98th St
Lubbock, TX 79423-3971

Fax (806) 798-6117

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X38448 (TX)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

11 other providers at this address

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About NPI 1013319714

Crockett Tidwell, RPH's National Provider Identifier is 1013319714, issued on Sep 24, 2014. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Lubbock, TX. The record was last updated on Sep 24, 2014.