Etheridge, Melissa Jennifer

Etheridge, Melissa Jennifer is an individual health care provider with primary practice located at 405 Old House Rd Unit 101, Ridgeland SC 29936. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nuclear. Pharmacy Service Providers / Nuclear is her primary health care specialty. Etheridge, Melissa Jennifer can be contacted via phone (843) 645-8388.

Contact Information

Primary practice address
405 Old House Rd Unit 101 Ridgeland SC 29936
Phone: (843) 645-8388
Fax: (843) 645-8389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12000 South Carolina
Pharmacy Service Providers / Nuclear 1835N0905X 12000 South Carolina

Profile Details

NPI number 1245515055
LBN Legal business name Etheridge, Melissa Jennifer
Credentials PHARMACISTS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Feb 19th, 2013 - about 11 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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