Individual
ELLEN J MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(306) 514-2881
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(306) 514-2881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60168164
WA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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