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Individual
DR. THOMAS DAVID BIDWELL
Active
Individual
DR. THOMAS DAVID BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43368
SC
390200000X
Student in an Organized Health Care Education/Training Program
S12445
AL
Other
Enumeration date
01/17/2019
Last updated
03/21/2022
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