Lewis Etheredge Redditt in Theodore - Pharmacist

Lewis Etheredge Redditt - NPI 1639222748

Lewis Etheredge Redditt is a Pharmacist in Theodore, Alabama. Lewis Etheredge Redditt practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Lewis Etheredge Redditt is 1639222748. The last update date is 2007-07-08.

Lewis Etheredge Redditt's current location address is 5808 Highway 90, Theodore, Alabama. You can contact this provider via phone number 2516530720 and fax number 2516530748. The mailing address for Lewis Etheredge Redditt is 5808 Highway 90, Theodore, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Lewis Etheredge Redditt
Address 5808 Highway 90, Theodore, Alabama
Phone Number 2516530720
Fax Number 2516530748
Sole Proprietor Y
Credentials PHARMACIST

NPI Number Detail

NPI Number 1639222748
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5808 Highway 90
City Theodore
State Alabama (AL)
Post Code 365821643
Phone Number 2516530720
Fax Number 2516530748

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 7228
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000001973 AL --

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FAQs about Lewis Etheredge Redditt

What is the Lewis Etheredge Redditt's 1639222748?

The Lewis Etheredge Redditt's NPI (National Provider Identifier) Number is 1639222748. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Lewis Etheredge Redditt's physical address?

The Lewis Etheredge Redditt is physically located at 5808 Highway 90, in the city of Theodore, AL, with the postal code 365821643.

What is Lewis Etheredge Redditt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lewis Etheredge Redditt is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.

When was the Lewis Etheredge Redditt's 1639222748 issued?

The Lewis Etheredge Redditt's 1639222748 was issued on 2007-01-19.

When was the information regarding Lewis Etheredge Redditt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lewis Etheredge Redditt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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