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Individual

AMY MARIE ELLENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6672
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6672

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
063114
NY
183500000X
Pharmacist
Primary
26024
NC

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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