Individual provider · Type 1 NPI
Mabella B. Ethridge, PharmD
Pharmacist · Crockett, TX
Practice location
401 N 4th St
Crockett, TX 75835-1525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 63315 (TX) |
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…
Another provider at this address
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About NPI 1265047179
Mabella B. Ethridge, PharmD's National Provider Identifier is 1265047179, issued on Sep 9, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Crockett, TX. The record was last updated on Apr 15, 2022.