DEREK ETHRIDGE, RPH

Pharmacist

Active Individual
NPI: 1700478575

Practice Address

19450 MCDONALD ST STE 102
Lytle, TX 78052

Phone: (830) 988-0100

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 30227 (TX)

Frequently Asked Questions

NPI 1700478575 is the National Provider Identifier for DEREK ETHRIDGE, RPH, a Pharmacist provider located in Lytle, TX. This NPI was enumerated on February 3, 2021.
DEREK ETHRIDGE, RPH practices at 19450 MCDONALD ST STE 102, Lytle, TX 78052.

Quick Facts

NPI
1700478575
Type
Individual
Enumerated
Feb 3, 2021
Last Updated
Feb 3, 2021

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