Individual
DR. JOHN R EASTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 N BYPASS RD, CAMPBELLSVILLE, KY 42718-7792
(270) 789-0577
(270) 789-0578
Mailing address
500 N BYPASS RD, CAMPBELLSVILLE, KY 42718-7792
(270) 789-0577
(270) 789-0578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010621
KY
3336C0003X
Community/Retail Pharmacy
010621
KY
Other
Enumeration date
07/18/2019
Last updated
05/03/2023
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