Individual
CANDACE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1308 N 20TH AVE, PASCO, WA 99301-4054
(509) 545-9581
Mailing address
1308 N 20TH AVE, PASCO, WA 99301-4054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60236129
WA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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