Jennifer Lynne Ellis

NPI #1639457997 in Silverton, Oregon

Provider Information

NPI Number: 1639457997
Entity Type: Individual
Name: Jennifer Lynne Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 3, 2011
Last Updated: Aug 3, 2011

Practice Location

Address: 333 WESTFIELD ST
City: Silverton
State: Oregon
ZIP Code: 97381-1936
Phone: (505) 873-2460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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