Individual
DR. MELISSA JENNIFER ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACISTS
Contact information
Practice address
405 OLD HOUSE RD, UNIT 101, RIDGELAND, SC 29936
(843) 645-8388
(843) 645-8389
Mailing address
405 OLD HOUSE RD UNIT 101, RIDGELAND, SC 29936
(843) 645-8388
(843) 645-8389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12000
SC
1835N0905X
Nuclear Pharmacist
Primary
12000
SC
Other
Enumeration date
10/13/2011
Last updated
02/19/2013
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