Ethan Odineal, PHARMD

NPI 1144824079 · on the registry since 2020 · sole proprietor

Practice

Address: 7909 Highway N
Dardenne Prairie, MO 63368
Phone: (636) 561-8450
Fax: (636) 561-8450
Organisation at this address: Sp Emr Med Associates Llc
Missouri Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Pharmacist
Pharmacist
Pharmacist
Licence states on file: TN, IL, IN, MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-09-12

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 Missouri