Organization
TIDWELL PROFESSION PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA CASTELLANOS RPH (OWNER PHARMACIST)
(713) 694-5977
Entity
Organization
Contact information
Practice address
2310 TIDWELL RD, HOUSTON, TX 77093-6731
(713) 694-5977
(713) 694-2450
Mailing address
2310 TIDWELL RD, HOUSTON, TX 77093-6731
(713) 694-5977
(713) 694-2450
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145207
—
TX
Enumeration date
03/15/2007
Last updated
06/21/2018
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