Individual
TANARA NICOLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3917 SPRING GROVE AVE, CINCINNATI, OH 45223-3302
(513) 357-7600
Mailing address
10716 PRAIRIE LN, OKLAHOMA CITY, OK 73162-4046
(405) 208-2308
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03443691
OH
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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