Individual
ELLIS A. ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1452 SE SKYLINE DR, SANTA ANA, CA 92705-3283
(714) 832-0407
(714) 832-1458
Mailing address
1452 SE SKYLINE DR, SANTA ANA, CA 92705-3283
(714) 832-0407
(714) 832-1458
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
031255
CA
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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