Individual
ELLIS PAUL MIRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
300 MARKET ST, ELIZABETH, PA 15037
(412) 384-2890
Mailing address
5600 WILKINS AVE, PITTSBURGH, PA 15217-1212
(412) 521-5690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454564
PA
Other
Enumeration date
08/13/2020
Last updated
11/09/2021
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