Search › Georgia › 183500000X
Larry Ethridge, R.PH
NPI 1548690423 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4240 Luther Ward Rd
Powder Springs, GA 30127 - Phone
- (770) 726-9837
- Fax
- (770) 726-9837
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-14
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 Georgia