Individual
ASHTYN ELIZABETH TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8374 W FRANKLIN ST, MOUNT PLEASANT, NC 28124-8812
(704) 436-9613
Mailing address
3230 FAITH RD, SALISBURY, NC 28146-7368
(704) 762-0455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31071
NC
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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