Individual
MR. DAVID MICHAEL ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 MCADAMS DR, NEW CARLISLE, OH 45344-2501
(937) 849-1366
Mailing address
4236 FOWLER DR, BELLBROOK, OH 45305-1112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-18513
OH
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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