Michell R Ellis, PHARMD

NPI #1871919845 in Mount Vernon, Illinois

Provider Information

NPI Number: 1871919845
Entity Type: Individual
Name: Michell R Ellis, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Mar 13, 2014
Last Updated: Mar 13, 2014

Practice Location

Address: 2 GOOD SAMARITAN WAY
Address 2: SUITE 120
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2408
Phone: (618) 899-4999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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