Individual
ANN ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
401 W NORTH ST, SPRINGFIELD, OH 45504-2607
(937) 324-5796
(937) 322-4516
Mailing address
284 S BROADMOOR BLVD, SPRINGFIELD, OH 45504-1158
(937) 207-9095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03217762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023028701
NPI
OH
Enumeration date
02/22/2022
Last updated
02/22/2022
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