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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ETHAN A. CARRUTHERS, PHARMD

Active Sole Proprietor

DR. ETHAN A. CARRUTHERS, PHARMD is a Pharmacist healthcare provider located in WAUPUN, Wisconsin. NPI 1871860965 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · WAUPUN, WI

Registration Details

NPI Number
1871860965
Provider Type
Individual
Gender
Male
NPI Issued
Nov 17, 2011 (14.557355224566 yrs)
Last Updated
Nov 17, 2011
License
16049-40 (WI)
Sole Proprietor
Yes

Practice Information

Address
999 E MAIN ST
WAUPUN, WI, 539632210
Browse WI providers · Browse ZIP 53963
Phone
9203244696
Fax
9203244910
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in WAUPUN, WI

Name Credential NPI
CAROLE MARIE CRONIN R.PH. 1215140835
DR. KEVIN JOSEPH FESSLER PHARM.D. 1669658258
DR. REBECCA JANE KEHOE PHARMD 1306087911
DALE A WSZALEK 1356628564
JAMES ALFRED VANDERWERFF R.PH 1598006645
MRS. KRISTY LOVE BUTEYN PHARMD 1548501794
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.