Individual
DR. STACEY A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
843 E MAIN ST, BROWNSBURG, IN 46112-1457
(317) 858-2345
(317) 858-2348
Mailing address
7665 JENNIFER LN, BROWNSBURG, IN 46112-8596
(317) 858-2345
(317) 858-2348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020400A
IN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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