Individual
MRS. DATUO ELLIS-WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ROSELLE CENTER PHARMACY, 570 RARITAN ROAD, ROSELLE, NJ 07203
(908) 245-4600
Mailing address
105 INDEPENDENCE DR, ROSELLE, NJ 07203-2410
(908) 245-3637
(908) 245-3637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI19017
NJ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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