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Individual
NICHOLAS DAVID ELLIS
Active
Individual
NICHOLAS DAVID ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
74967
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
40954
TX
Other
Enumeration date
12/29/2023
Last updated
07/08/2026
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