Individual
DR. BRYAN M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1623 E MAIN ST, MAGNOLIA, AR 71753-3803
(870) 234-7073
Mailing address
303 N LANEY RD, CROSSETT, AR 71635-8696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15241
AR
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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