Mr. Crockett Tidwell
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
4205 98th St, Lubbock
Texas, 79423-3971
806-798-6115 806-798-6117
Mr. Crockett Tidwell is a pharmacist who is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lubbock, Texas. Patients can reach him at 4205 98th St, Lubbock or contact him on 806-798-6115. Active license number of Mr. Crockett Tidwell is 38448 for Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas.
Mr. Crockett Tidwell is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Complete Profile:
Mr. Crockett Tidwell speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Crockett Tidwell |
| Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 4205 98th St, Lubbock,
Texas, 79423-3971 |
| Phone: | 806-798-6115 |
| Fax: | 806-798-6117 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Crockett Tidwell are as mentioned below.
| NPI Number: | 1013319714 |
| NPI Enumeration Date: | 24 Sep, 2014 |
| NPI Last Update On: | 24 Sep, 2014 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Crockett Tidwell are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 38448 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Crockett Tidwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 38448 | Other | Texas | Pharmacy License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4205 98th St,
Lubbock, Texas |
| Zip: | 79423-3971 |
| Phone Number: | 806-798-6115 |
| Fax Number: | 806-798-6117 |
Patients can reach Mr. Crockett Tidwell at
4205 98th St, Lubbock, Texas or can
call on phone at 806-798-6115.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.