JACK TIDABACK, RPH

Pharmacist

Active Individual
NPI: 1255329710

Practice Address

214 14TH AVE SW
Sidney, MT 59270

Phone: (406) 488-6563

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 3118 (MT)

Frequently Asked Questions

NPI 1255329710 is the National Provider Identifier for JACK TIDABACK, RPH, a Pharmacist provider located in Sidney, MT. This NPI was enumerated on October 10, 2005.
JACK TIDABACK, RPH practices at 214 14TH AVE SW, Sidney, MT 59270.

Quick Facts

NPI
1255329710
Type
Individual
Enumerated
Oct 10, 2005
Last Updated
Jul 8, 2007

Nearby Providers