Individual
DR. LARRYE ELLIS LOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA, RPH
Contact information
Practice address
1 MEDIMMUNE WAY, 101ORD/2236D, GAITHERSBURG, MD 20878-2204
(301) 398-0132
Mailing address
20 CHIPMUNK LN, MEDIA, PA 19063-4708
(610) 565-8479
(610) 565-8479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-030143-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-030143-L
PHARMACIST LICENSE
PA
Enumeration date
01/18/2018
Last updated
01/18/2018
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