Individual
DR. THOMAS DAVID BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2586 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(864) 288-8836
Mailing address
5314 GORMAN PL, SIMPSONVILLE, SC 29680-8124
(864) 933-1633
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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