Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Parent organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Other names
TidalHealth Home Scripts
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDALHEALTH PENINSULA REGIONAL, INC.
Authorized official
WILLIAM CLIFFORD COOPER P.D. (DIRECTOR OF AMBULATORY PHARMACY)
(410) 543-7047
Entity
Organization
Contact information
Practice address
200 EAST VINE ST, SALISBURY, MD 21801
(410) 543-4798
(410) 543-4799
Mailing address
200 EAST VINE ST, SALISBURY, MD 21801
(410) 543-4798
(410) 543-4799
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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