Robin Ellis

NPI #1154604742 in Lawton, Oklahoma

Provider Information

NPI Number: 1154604742
Entity Type: Individual
Name: Robin Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 21, 2011
Last Updated: Sep 21, 2011

Practice Location

Address: 6701 NW CACHE RD
City: Lawton
State: Oklahoma
ZIP Code: 73505-2701
Phone: (580) 536-4621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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