Individual
MARGARET JARRELL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N MARKET ST, OPELOUSAS, LA 70570-5263
(337) 942-2631
Mailing address
352 GENTRY RD, WASHINGTON, LA 70589-4452
(337) 331-3871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.011679
LA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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