Individual
CLINTON ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2005 N DOBSON RD, CHANDLER, AZ 85224-2294
(480) 812-0063
Mailing address
18881 N 71ST LN, CLINTON E ELLSWORTH, GLENDALE, AZ 85308-5860
(801) 628-6760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022285
AZ
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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