Individual
DR. SAMUEL LEE ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D., CDE, BCPS
Contact information
Practice address
4200 EAST NINTH AVE, C238, DENVER, CO 80262-0001
(303) 315-1132
(303) 315-4630
Mailing address
2083 GLENCOE ST, DENVER, CO 80207-3832
(303) 315-1132
(303) 315-4630
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
15271
CO
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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