Stacey Rae Ellison, RPH

NPI #1346637766 in Humble, Texas

Provider Information

NPI Number
1346637766
Entity Type
Individual
Name
Stacey Rae Ellison, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Apr 23, 2015
Last Updated
Apr 23, 2015

Practice Location

Address
18215 YUKON RIDGE TRL
City
Humble
State
Texas
ZIP Code
77346-4091
Phone
(713) 859-0382

Specialties & Taxonomy Codes

Specialty
Pharmacist

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