Individual
AMY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2245 84TH ST SW, BYRON CENTER, MI 49315-8666
(616) 878-6047
(616) 878-6072
Mailing address
2245 84TH ST SW, BYRON CENTER, MI 49315-8666
(616) 878-6047
(616) 878-6072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030775
MI
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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