Individual
MR. GEORGE ARTHUR ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
26317 W WASHINGTON STREET, PETERSBURG, VA 23803-0030
(804) 524-7744
Mailing address
PO BOX 4030, PETERSBURG, VA 23803-0030
(804) 524-7744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006032
VA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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