Individual
LEWIS ETHEREDGE REDDITT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5808 HIGHWAY 90, SUITE B, THEODORE, AL 36582-1643
(251) 653-0720
(251) 653-0748
Mailing address
5808 HIGHWAY 90, SUITE B, THEODORE, AL 36582-1643
(251) 653-0720
(251) 653-0748
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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