Individual
CHRISTY VAUGHN TIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
911 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 391-3636
(205) 343-7198
Mailing address
911 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 391-3636
(205) 343-7198
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
13641
AL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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