Individual
IAN ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9427
(901) 825-3165
Mailing address
800 RIDGE LAKE BLVD STE 100, MEMPHIS, TN 38120-9442
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
44243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44243
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
07/23/2020
Last updated
07/23/2020
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