Individual
ELLISON ANN FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
3796 LAKE MARSTON DR, ORANGEBURG, SC 29118-1004
(843) 909-8178
Mailing address
3796 LAKE MARSTON DR, ORANGEBURG, SC 29118-1004
(843) 909-8178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43263
SC
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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