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Ethan Stobaugh
Pharmacist in Horn Lake, Mississippi
NPI 1326686254

Ethan Stobaugh is a Pharmacist based in Horn Lake, MS. Ethan Stobaugh practices in Horn Lake, MS. The NPI Number for Ethan Stobaugh is 1326686254 and holds a License No. E-14458 (Mississippi).

The current practice location address for Ethan Stobaugh is 3926 Goodman Rd W, Horn Lake, MS and can be reached out via phone at 662-393-7868.

Location: 3926 Goodman Rd W, Horn Lake, MS, 38637-1324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326686254
Provider Name
Ethan Stobaugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
3926 Goodman Rd W, Horn Lake, MS, 38637-1324
Phone Number
662-393-7868
Fax Number
Provider Enumeration Date
12/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3926 Goodman Rd W
City
Horn Lake
State
Mississippi
Zip
38637-1324
Phone Number
662-393-7868
Fax Number
person
Provider Business Mailing Address Details
Address
3926 Goodman Rd W
City
Horn Lake
State
Mississippi
Zip
38637-1324
Phone Number
662-393-7868
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-14458 (Mississippi)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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