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Individual

ELLIS HOWARD PARISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3531 HARRIS AVE NW, CANTON, OH 44708-1020
(330) 477-3957
Mailing address
3531 HARRIS AVE NW, CANTON, OH 44708-1020
(330) 477-3957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-12902
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-3-12902
REGISTERED PHARMACIST
OH
Enumeration date
10/21/2015
Last updated
10/21/2015
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