Search › Kentucky › 183500000X
Mykel Tidwell, PHARMD
NPI 1063782399 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1520 Cuba Rd
Mayfield, KY 42066 - Phone
- (270) 705-1141
- Organisation at this address
- Apothecary Shoppe, Inc.
S.E.W. Enterprises, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky