Individual
SHANNON YI ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3201 TIOGA PKWY, T-2393, BALTIMORE, MD 21215-7987
(410) 369-1008
Mailing address
3201 TIOGA PKWY, T-2393, BALTIMORE, MD 21215-7987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19770
MD
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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