Individual
COURTNEY ELLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7400 BUSTLETON AVE, PHILADELPHIA, PA 19152-4312
(267) 350-9481
Mailing address
8201 HENRY AVE APT P12, PHILADELPHIA, PA 19128-2246
(215) 292-8361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454478
PA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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