Tim D Ellison

NPI #1518252790 in Alexandria, Minnesota

Provider Information

NPI Number
1518252790
Entity Type
Individual
Name
Tim D Ellison
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 15, 2011
Last Updated
Jun 15, 2011

Practice Location

Address
4404 HWY 29 S
Address 2
T0821
ZIP Code
56308-2915
Phone
(320) 763-7393

Specialties & Taxonomy Codes

Specialty
Pharmacist

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