Individual
RUTH ELLEN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
510 E 30TH AVE, HUTCHINSON, KS 67502-8431
(620) 663-2241
(620) 664-6341
Mailing address
510 E 30TH AVE, HUTCHINSON, KS 67502-8431
(620) 663-2241
(620) 664-6341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13765
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13765
KS PHARMACIST LICENSE
KS
Enumeration date
06/01/2012
Last updated
06/01/2012
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