Organization
ELLEYS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RUSSELL ELLEY RPH (RPH/OWNER)
(816) 650-5611
Entity
Organization
Contact information
Practice address
306 S HUDSON ST, BUCKNER, MO 64016-8142
(816) 650-5611
(816) 650-5611
Mailing address
306 S HUDSON ST, BUCKNER, MO 64016-8142
(816) 650-5611
(816) 650-5611
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027748
MO
Other
Enumeration date
12/06/2005
Last updated
08/22/2020
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