Individual provider · Type 1 NPI
Davalyn Sanaye Tidwell, PHARM D
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Moreno Valley, CA
Practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
2425 N Brighton St
Burbank, CA 91504-2612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 61216 (CA) |
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.
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About NPI 1962605014
Davalyn Sanaye Tidwell, PHARM D's National Provider Identifier is 1962605014, issued on Jun 7, 2007. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 7, 2009.