Darren Tidwell, DPH is a
Pharmacist based in Wilburton, Oklahoma. Darren Tidwell is licensed to practice in Oklahoma (license number 11475) and his current practice location is
225 W Main St, Wilburton, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 465-9300.
NPI number for Darren Tidwell is 1346478765 and his current mailing address is 225 W Main St, Wilburton, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346478765.
Healthcare Provider's Profile
| Full Name | Darren Tidwell |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 225 W Main St, Wilburton, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346478765
- Provider Enumeration Date: 06/24/2009
- Last Update Date: 03/05/2021
Medical Identifiers
Medical identifiers for Darren Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346478765 | NPI | - | NPPES |
| 200081170B | Medicaid | OK | |
| 200081170A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 11475 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darren Tidwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Darren Tidwell, DPH
225 W Main St,
Wilburton, OK 74578-4045
Ph: (918) 465-9300 | Darren Tidwell, DPH
225 W Main St,
Wilburton, OK 74578-4045
Ph: (918) 465-9300 |
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