Jason Ted Ellis, RPH

NPI #1285197673 in Spencer, Iowa

Provider Information

NPI Number: 1285197673
Entity Type: Individual
Name: Jason Ted Ellis, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 11, 2019
Last Updated: Apr 11, 2019

Practice Location

Address: 500 11TH ST SW
City: Spencer
State: Iowa
ZIP Code: 51301-5826
Phone: (712) 262-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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