Charles M Tidwell

LBN: Charles M Tidwell
Charles M Tidwell is an health care organization with primary practice located at 3975 Jackson St Ste 111 , Riverside CA 92503-3946. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Charles M Tidwell can be contacted via phone (951) 637-7054, or through Tidwell, Charles Michael via phone (951) 637-7054.

Contact Information

Primary practice address
3975 Jackson St Ste 111 Riverside CA 92503-3946
Phone: (951) 637-7054
Fax: (951) 637-7056
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Charles Michael RPH
Phone: (951) 637-7054

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 38762 California

Profile Details

NPI number 1518338722
LBN Legal business name Charles M Tidwell
DBA Doing business as
Authorized official Tidwell, Charles Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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