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Individual

JENNIFER ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
6111 FERGUSON RD, OSKALOOSA, KS 66066-5388
(785) 876-2866
Mailing address
6111 FERGUSON RD, OSKALOOSA, KS 66066-5388
(785) 876-2866

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12289
KS

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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