DR. Ethan A. Carruthers, PHARMD

NPI #1871860965 in Waupun, Wisconsin

Provider Information

NPI Number: 1871860965
Entity Type: Individual
Name: DR. Ethan A. Carruthers, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 999 E MAIN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-2210
Phone: (920) 324-4696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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