Forrest Ethridge

NPI #1083027148 in Jonesboro, Arkansas

Provider Information

NPI Number
1083027148
Entity Type
Individual
Name
Forrest Ethridge
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 6, 2014
Last Updated
Jun 6, 2014

Practice Location

Address
3000 E HIGHLAND DR STE A
ZIP Code
72401-6376
Phone
(870) 934-9668

Specialties & Taxonomy Codes

Specialty
Pharmacist

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