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Dr. Davalyn Sanaye Tidwell, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Moreno Valley, California
NPI 1962605014

Davalyn Sanaye Tidwell is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Burbank, CA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Davalyn Sanaye Tidwell practices in Moreno Valley, CA and has the professional credentials of PHARMD. The NPI Number for Davalyn Sanaye Tidwell is 1962605014 and holds a License No. 61216 (California).

The current practice location address for Davalyn Sanaye Tidwell is 26520 Cactus Ave, Moreno Valley, CA and can be reached out via phone at 951-486-4529.

Location: 26520 Cactus Ave, Moreno Valley, CA, 91504-2612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962605014
Provider Name
Davalyn Sanaye Tidwell
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
26520 Cactus Ave, Moreno Valley, CA, 91504-2612
Phone Number
951-486-4529
Fax Number
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26520 Cactus Ave
City
Moreno Valley
State
California
Zip
92555-3927
Phone Number
951-486-4529
Fax Number
person
Provider Business Mailing Address Details
Address
26520 Cactus Ave
City
Moreno Valley
State
California
Zip
92555-3927
Phone Number
951-486-4529
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
61216 (California)
Definition
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.
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