Individual
KAELA ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5116 W OLIVE AVE, GLENDALE, AZ 85302-4209
(623) 937-4771
Mailing address
24250 N 23RD AVE UNIT 2049, PHOENIX, AZ 85085-1966
(480) 603-8097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I025206
AZ
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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