Individual
ANDREW BIDINOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13501 PARK VISTA BLVD STE 150, FORT WORTH, TX 76177-3204
(817) 826-7500
(817) 826-7584
Mailing address
13501 PARK VISTA BLVD STE 150, FORT WORTH, TX 76177-3204
(817) 826-7500
(817) 826-7584
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
46384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46384
TEXAS PHARMACY LICENSE
TX
Enumeration date
09/02/2021
Last updated
09/02/2021
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