Individual provider · Type 1 NPI

Denise M. Tidwell, RPH

Pharmacist · Portsmouth, VA

NPI number 1376828640 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Fax (757) 953-7685

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPS56037 (FL)
Pharmacist 183500000X8894 (SC)
Pharmacist Primary 183500000X0202206163 (VA)

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 1376828640

Denise M. Tidwell, RPH's National Provider Identifier is 1376828640, issued on Oct 18, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portsmouth, VA. The record was last updated on Jun 23, 2023.