IAN ETHERIDGE PHARMD - NPI 1992314272 - Pharmacist in Memphis, TN

Q: What is the provider's specialty?

The provider's specialty is Pharmacist with taxonomy code 1835P0018X and a focus in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist.

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About Ian Etheridge Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN ETHERIDGE PHARMD (NPI 1992314272) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Memphis, Tennessee, licensed in Tennessee (44243) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1992314272

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameIAN ETHERIDGECredential: PHARMD

Location Address800 RIDGE LAKE BLVDMemphis, TN 38120-9427

Mailing Address800 Ridge Lake Blvd Ste 100Memphis, TN 38120-9442

Phone(901) 825-3165

Sole ProprietorNo

Enumeration DateJuly 23, 2020

NPPES CertifiedJuly 23, 2020

✔ NPI 1992314272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in TN · 44243

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

800 RIDGE LAKE BLVD, Memphis, TN 38120

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