Individual
DESTIN TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 THREE NOTCH RD, MOBILE, AL 36619-1714
(251) 666-0249
Mailing address
9650 HAMILTON CREEK DR S, MOBILE, AL 36695-9305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23733
AL
Other
Enumeration date
01/27/2022
Last updated
07/01/2025
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