MR. Larry Ethridge, R.PH.

NPI #1548690423 in Powder Springs, Georgia

Provider Information

NPI Number
1548690423
Entity Type
Individual
Name
MR. Larry Ethridge, R.PH.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
R.PH.
Enumeration Date
Nov 14, 2013
Last Updated
Nov 14, 2013

Practice Location

Address
4240 LUTHER WARD RD
State
Georgia
ZIP Code
30127-1184
Phone
(770) 726-9837

Specialties & Taxonomy Codes

Specialty
Pharmacist

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