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Individual

NICHOLAS ELLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2415 MOORES MILL RD, AUBURN, AL 36830-8480
(334) 502-8672
Mailing address
501 WEBSTER RD LOT 11, AUBURN, AL 36832-4211

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20537
AL

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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