Tidwell, Katelyn

Tidwell, Katelyn is an individual health care provider with primary practice located at 688 Baldwin Ave , Defuniak Springs FL 32435-2596. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tidwell, Katelyn can be contacted via phone (850) 892-5612.

Contact Information

Primary practice address
688 Baldwin Ave Defuniak Springs FL 32435-2596
Phone: (850) 892-5612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS43999 Florida

Profile Details

NPI number 1497347496
LBN Legal business name Tidwell, Katelyn
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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