Individual
ELLEN N LUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
323 HICKORY RIDGE DR, ELLIJAY, GA 30536-6252
(706) 889-3499
Mailing address
323 HICKORY RIDGE DR, ELLIJAY, GA 30536-6252
(706) 889-3499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012910
GA
Other
Enumeration date
09/16/2008
Last updated
09/21/2010
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