Individual
LEVI ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
601 HIGHWAY 71 N, MENA, AR 71953-4394
(479) 385-9400
(479) 385-2731
Mailing address
601 HIGHWAY 71 N, MENA, AR 71953-4394
(479) 385-9400
(479) 385-2731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14586
AR
Other
Enumeration date
08/19/2020
Last updated
08/23/2024
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