Individual
DR. JODY ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-8761
(218) 897-8761
Mailing address
26564 315TH AVE, LONG PRAIRIE, MN 56347-4653
(218) 894-8761
(218) 894-8762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5451
SD
Other
Enumeration date
08/21/2006
Last updated
07/23/2007
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