Individual
DR. JENNIFER J. ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3015 TOWER AVE, SUPERIOR, WI 54880-5324
(715) 394-5551
Mailing address
37 NYNAS RD, ESKO, MN 55733-9734
(612) 281-4787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120060
MN
183500000X
Pharmacist
16203-40
WI
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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