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Jack Tidaback

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NPI Number Detailed Information

Provider Information:

Name: Jack Tidaback
Gender: M
Provider License Number If Given: 3118

NPI Information:

NPI: 1255329710
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/10/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 214 14TH AVE SW
Sidney, MT 59270
Phone Number: 4064886563
Fax Number: 4064882231

Provider Business Practice Location Address:

Address: 214 14TH AVE SW
Sidney, MT 59270
Phone Number: 4064886563
Fax Number: 4064882231

Provider Taxonomy:

Primary: 183500000X
Secondary (if any):
State: MT

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About Jack Tidaback

Jack Tidaback ( JACK TIDABACK ) is An Pharmacist Physician in Sidney, MT. The NPI Number for Jack Tidaback is 1255329710.
The current location address for Jack Tidaback is 214 14TH AVE SW Sidney, MT 59270 and the contact number is 4064886563 and fax number is 4064882231. The mailing address for Jack Tidaback is 214 14TH AVE SW Sidney, MT 59270- 4064886563 (mailing address contact number - 4064886563).
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jack Tidaback ?


Answer: The NPI Number for Jack Tidaback is 1255329710

Where is Jack Tidaback located?


Answer: Jack Tidaback is located at 214 14TH AVE SW Sidney, MT 59270.

What is the specialty for Jack Tidaback ?


Answer: The Specialty of Jack Tidaback is An Pharmacist Physician.

Are there any online reviews for Jack Tidaback ?


Answer: Not yet!

Are there any other health care providers in Sidney, MT?


Answer: Yes, there are given below...

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Jack Tidaback
Pharmacist
NPI Number: 1255329710
Address: 214 14TH AVE SW Sidney, MT 59270 , Phone: 4064886563
Sidney Health Center
Pharmacist
NPI Number: 1497743959
Address: 214 14TH AVE SW Sidney, MT 59270 , Phone: 4064886563

Jack Tidaback in Other Directories

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