Individual
MRS. GINA B ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-8258
(317) 415-7468
Mailing address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-8258
(317) 415-7468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021213A
IN
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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