Forrest Ethridge

NPI 1083027148 - Pharmacist - 183500000X

NPI Details
NPI 1083027148
Gender Male
Enumeration Date 06/06/2014
Last Updated 06/06/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3000 E HIGHLAND DR STE A
JONESBORO AR, 72401-6376, US
Phone (870) 934-9668
Fax
Business Location
3000 E HIGHLAND DR STE A
JONESBORO AR, 72401-6376, US
Phone (870) 934-9668
Fax
Toxanomy
Taxonomy Code 183500000X
License State Arkansas
License Number 07033
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According to our database, Forrest Ethridge NPI is 1083027148, taxonomy code is 183500000X and license number is 07033, license state is located at Arkansas. Forrest Ethridge physically located at 3000 E Highland Dr Ste A, Jonesboro AR, 72401-6376. NPI Number Forrest Ethridge has the Individual type.

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1083027148 NPI number is provided on an as is basis without warranty of any kind. 1083027148 is maintained by the National Plan & Provider Enumeration System. The contents of Forrest Ethridge are for informational purposes only.