Individual
DR. ANNIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1349 E EAGLE RD, WEATHERFORD, OK 73096-9208
(580) 772-2712
Mailing address
1349 E EAGLE RD, WEATHERFORD, OK 73096-9208
(580) 772-2712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14859
OK
183500000X
Pharmacist
47687
TX
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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