Individual provider · Type 1 NPI

Ethan Michael Odineal, PharmD

Pharmacist · Dardenne Prairie, MO

NPI number 1144824079 Active

Practice location

7909 Highway N
Dardenne Prairie, MO 63368-7382

Call (636) 561-8450 Map

Fax (636) 561-8450

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X43211 (TN)
Pharmacist 183500000X051.304733 (IL)
Pharmacist 183500000X26029005A (IN)
Pharmacist Primary 183500000X2022011896 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

7 other providers at this address

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About NPI 1144824079

Ethan Michael Odineal, PharmD's National Provider Identifier is 1144824079, issued on Nov 22, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Dardenne Prairie, MO. The record was last updated on Sep 12, 2022.