Individual
MRS. MARY LOUISE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1327 BLUE AVE, ZANESVILLE, OH 43701-2403
(740) 452-0705
Mailing address
1327 BLUE AVE, ZANESVILLE, OH 43701-2403
(740) 452-0705
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03310531
OH
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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