Individual
DEBORAH ETHERIDGE WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1100 HWY 51 NORTH, MADISON, MS 39110-6600
(601) 853-1611
(601) 853-7408
Mailing address
1100 HWY 51 NORTH, MADISON, MS 39110-9625
(601) 853-1611
(601) 853-7408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6033
MS
Other
Enumeration date
04/29/2008
Last updated
10/21/2011
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