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Derek Madison Ethridge, RPH
Pharmacist in Lytle, Texas
NPI 1700478575

Derek Madison Ethridge is a Pharmacist based in New Braunfels, TX. Derek Madison Ethridge practices in Lytle, TX and has the professional credentials of RPH. The NPI Number for Derek Madison Ethridge is 1700478575 and holds a License No. 30227 (Texas).

The current practice location address for Derek Madison Ethridge is 19450 Mcdonald St Ste 102, Lytle, TX and can be reached out via phone at 830-988-0100 and via fax at 830-988-0111.

Location: 19450 Mcdonald St Ste 102, Lytle, TX, 78130-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700478575
Provider Name
Derek Madison Ethridge
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
19450 Mcdonald St Ste 102, Lytle, TX, 78130-1958
Phone Number
830-988-0100
Fax Number
830-988-0111
Provider Enumeration Date
02/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19450 Mcdonald St Ste 102
City
Lytle
State
Texas
Zip
78052-3649
Phone Number
830-988-0100
Fax Number
830-988-0111
person
Provider Business Mailing Address Details
Address
19450 Mcdonald St Ste 102
City
Lytle
State
Texas
Zip
78052-3649
Phone Number
830-988-0100
Fax Number
830-988-0111
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
30227 (Texas)
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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