Forrest Ethridge, | |
3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | |
(870) 934-9668 | |
Not Available |
Full Name | Forrest Ethridge |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 3000 E Highland Dr Ste A, Jonesboro, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083027148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 07033 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Forrest Ethridge, 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 Ph: (870) 934-9668 | Forrest Ethridge, 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 Ph: (870) 934-9668 |
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