Individual
MS. JENNIFER ANNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
458 DARTMOUTH ST, NEW BEDFORD, MA 02740-1115
(508) 996-3778
(508) 996-3779
Mailing address
77 LAKESIDE AVE, NORTH DARTMOUTH, MA 02747-1512
(774) 202-5302
(508) 996-3779
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
25983
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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