Doug M Ellis

NPI #1598325730 in West Burlington, Iowa

Provider Information

NPI Number
1598325730
Entity Type
Individual
Name
Doug M Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jun 19, 2019
Last Updated
Jun 19, 2019

Practice Location

Address
324 W AGENCY RD
State
Iowa
ZIP Code
52655-1674
Phone
(319) 753-2269

Specialties & Taxonomy Codes

Specialty
Pharmacist

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