Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK MADISON ETHRIDGE, RPH
ActiveDEREK MADISON ETHRIDGE, RPH is a Pharmacist healthcare provider located in LYTLE, Texas. NPI 1700478575 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LYTLE, TX
Registration Details
- NPI Number
- 1700478575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2021 (5.5067206818591 yrs)
- Last Updated
- Feb 3, 2021
- License
-
30227 (TX)
Practice Information
- Address
-
19450 MCDONALD ST STE 102LYTLE, TX, 780523649Browse TX providers · Browse ZIP 78052
- Phone
- 8309880100
- Fax
- 8309880111
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LYTLE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY WAYNE BOHMFALK | RPH | 1871808659 |
| MRS. ELAINE EVELYN GAGE-GONZALEZ | RPH | 1407161284 |
| JACQUELINE GROHMAN | — | 1740595529 |
| DR. TRACIE LAWLER | PHARMD | 1639484439 |
| LAUREN BILLINGS | PHARMD | 1376052373 |
| DR. MAUREEN ASENO | — | 1134729379 |
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.