Larry Lamar Ellis, RPH

NPI #1710138771 in Driggs, Idaho

Provider Information

NPI Number
1710138771
Entity Type
Individual
Name
Larry Lamar Ellis, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
10 S MAIN ST
City
Driggs
State
Idaho
ZIP Code
83422-9700
Phone
(208) 354-2334

Specialties & Taxonomy Codes

Specialty
Pharmacist

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