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Individual
SCOTT ELLEFSON
Active
Individual
SCOTT ELLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007682
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0007682
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0007682
PRH LICENSE
OR
Enumeration date
01/14/2016
Last updated
07/26/2018
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