Individual
JENNIFER LYNNE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 WESTFIELD ST, SILVERTON, OR 97381-1936
(505) 873-2460
(503) 873-4747
Mailing address
333 WESTFIELD ST, SILVERTON, OR 97381-1936
(505) 873-2460
(503) 873-4747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009423
OR
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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