Individual provider · Type 1 NPI

Destin Tidwell

Pharmacist · Mobile, AL

NPI number 1912650268 Active

Practice location

5530 Three Notch Rd
Mobile, AL 36619-1714

Call (251) 666-0249 Map

Mailing address

9650 Hamilton Creek Dr S
Mobile, AL 36695-9305

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X23733 (AL)

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 1912650268

Destin Tidwell's National Provider Identifier is 1912650268, issued on Jan 27, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mobile, AL. The record was last updated on Jul 1, 2025.