Individual
MRS. MILLIE ANN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 N WAYNE ST, WARREN PHARMACY, WARREN, IN 46792
(260) 375-2135
(260) 375-7030
Mailing address
210 E MAX DR, PENNVILLE, IN 47369
(260) 731-5761
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67000393A
IN
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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