Individual
DR. ROBERT M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1509 27TH ST, HALEYVILLE, AL 35565-2115
(205) 486-0217
Mailing address
1509 27TH STREET, HALEYVILLE, AL 35565-2115
(205) 486-0217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16613
AL
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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