Individual
DR. KRISTOPHER RICHARD TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1106 N COLUMBIA CENTER BLVD, TARGET PHARMACY - T0830, KENNEWICK, WA 99336-1161
(509) 737-1700
(509) 378-3653
Mailing address
1106 N COLUMBIA CENTER BLVD, TARGET PHARMACY - T0830, KENNEWICK, WA 99336-1161
(509) 737-1700
(509) 378-3653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60173826
WA
Other
Enumeration date
06/04/2011
Last updated
08/14/2012
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