Organization
ELLISON MANAGEMENT PLLC
Active
Other names
Ellison Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI ELLISON PHARMD (PHARMACIST AND OWNER)
(479) 385-9400
Entity
Organization
Contact information
Practice address
601 HIGHWAY 71 N, MENA, AR 71953-4394
(479) 385-9400
(479) 385-2731
Mailing address
601 HIGHWAY 71 N, MENA, AR 71953-4394
(479) 385-9400
(479) 385-2731
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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