Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN MICHAEL ODINEAL, PHARMD
Active Sole ProprietorDR. ETHAN MICHAEL ODINEAL, PHARMD is a Pharmacist healthcare provider located in DARDENNE PRAIRIE, Missouri. NPI 1144824079 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · DARDENNE PRAIRIE, MO
Registration Details
- NPI Number
- 1144824079
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2020 (5.6890851808861 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
43211 (TN)051.304733 (IL)26029005A (IN)2022011896 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7909 HIGHWAY NDARDENNE PRAIRIE, MO, 633687382Browse MO providers · Browse ZIP 63368
- Phone
- 6365618450
- Fax
- 6365618450
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Pharmacist
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in DARDENNE PRAIRIE, MO
| Name | Credential | NPI |
|---|---|---|
| TRACI YVONNE DANSBERRY | PHARM.D., RPH | 1861512238 |
| DR. AUBREY SELVEY | PHARM.D. | 1093001125 |
| ANDREA B GERKE | RPH | 1730442807 |
| DR. NICOLE M MCGOWAN | PHARM. D. | 1699021196 |
| BRIAN HEANEY | RPH | 1053950626 |
| LINDSEY H SHORTER | PHARMD | 1205439775 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.