Individual provider · Type 1 NPI

Mykel Linn Tidwell, PharmD

Pharmacist · Mayfield, KY

NPI number 1063782399 Active

Practice location

1520 Cuba Rd
Mayfield, KY 42066-6809

Call (270) 705-1141 Map

Mailing address

66 Lake Terry Dr
Mayfield, KY 42066-6982

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X015489 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063782399

Mykel Linn Tidwell, PharmD's National Provider Identifier is 1063782399, issued on Jan 4, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mayfield, KY. The record was last updated on Sep 27, 2024.