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Individual
LEWIS ETHEREDGE REDDITT II
Active
Individual
LEWIS ETHEREDGE REDDITT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7228
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000001973
—
AL
Enumeration date
01/19/2007
Last updated
07/08/2007
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