Ethridge, Wendy

Ethridge, Wendy is an individual health care provider with primary practice located at 4175 S Pipkin Rd Suite 208, Lakeland FL 33811-1699. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Ethridge, Wendy can be contacted via phone (866) 577-1440.

Contact Information

Primary practice address
4175 S Pipkin Rd Suite 208 Lakeland FL 33811-1699
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS35010 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PU5606 Florida

Profile Details

NPI number 1770904526
LBN Legal business name Ethridge, Wendy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2013
Last updated Dec 20th, 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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