DR. Amanda Marie Ellison

NPI #1942800313 in Olympia Fields, Illinois

Provider Information

NPI Number: 1942800313
Entity Type: Individual
Name: DR. Amanda Marie Ellison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 21000 WESTERN AVE
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1935
Phone: (708) 898-9114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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