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Jack Tidaback, RPH
Pharmacist in Sidney, Montana
NPI 1255329710

Jack Tidaback is a Pharmacist based in Sidney, MT. Jack Tidaback practices in Sidney, MT and has the professional credentials of RPH. The NPI Number for Jack Tidaback is 1255329710 and holds a License No. 3118 (Montana).

The current practice location address for Jack Tidaback is 214 14Th Ave Sw, Sidney, MT and can be reached out via phone at 406-488-6563 and via fax at 406-488-2231.

Location: 214 14Th Ave Sw, Sidney, MT, 59270-3521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255329710
Provider Name
Jack Tidaback
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
214 14Th Ave Sw, Sidney, MT, 59270-3521
Phone Number
406-488-6563
Fax Number
406-488-2231
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
214 14Th Ave Sw
City
Sidney
State
Montana
Zip
59270-3521
Phone Number
406-488-6563
Fax Number
406-488-2231
person
Provider Business Mailing Address Details
Address
214 14Th Ave Sw
City
Sidney
State
Montana
Zip
59270-3521
Phone Number
406-488-6563
Fax Number
406-488-2231
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
3118 (Montana)
Definition
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.
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