Individual
JUSTIN CHRISTIAN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
233 STEVENS ST, HYANNIS, MA 02601-3766
(401) 273-7100
Mailing address
233 STEVENS ST, HYANNIS, MA 02601-3766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
057519
NY
1835P1300X
Psychiatric Pharmacist
Primary
057519
NY
Other
Enumeration date
12/12/2012
Last updated
07/21/2025
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