Forrest Ethridge

NPI 1083027148 · on the registry since 2014 · sole proprietor

Practice

Address: 3000 E Highland Dr Ste A
Jonesboro, AR 72401
Phone: (870) 934-9668
Organisation at this address: Angela Howell Od Pa
Arkansas Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas