Individual
ANTHONY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 E FM 1187, CROWLEY, TX 76036-4363
(817) 297-2000
Mailing address
3226 RIDGE TRACE CIR, MANSFIELD, TX 76063-5364
(817) 308-3499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42556
TX
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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