Individual
MR. MARK ALDOR ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
805 MULLAN AVENUE, BOX 2170, OSBURN, ID 83849
(208) 752-1028
Mailing address
805 MULLAN AVENUE, OSBURN, ID 83849
(208) 752-1028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7037
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002450000
—
ID
Enumeration date
04/23/2015
Last updated
04/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us