Individual
CHARLES WESLEY ELLIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 255-6800
Mailing address
216 TEEL RD, BECKLEY, WV 25801-2443
(304) 256-2488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006934
WV
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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