Etheridge, Ian

Etheridge, Ian is an individual health care provider with primary practice located at 800 Ridge Lake Blvd , Memphis TN 38120-9427. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Etheridge, Ian can be contacted via phone (901) 825-3165.

Contact Information

Primary practice address
800 Ridge Lake Blvd Memphis TN 38120-9427
Phone: (901) 825-3165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 44243 Tennessee

Profile Details

NPI number 1992314272
LBN Legal business name Etheridge, Ian
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992314272 NPPES
Tennessee Other 44243 TENNESSEE BOARD OF PHARMACY

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