Individual
DR. ASHLEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9075 SANDIDGE CENTER CV, OLIVE BRANCH, MS 38654-3514
(662) 895-4949
Mailing address
9075 SANDIDGE CENTER CV, OLIVE BRANCH, MS 38654-3514
(662) 892-8448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-010494
MS
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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