Organization
WILLIAM LEON ELLIS JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LEON ELLIS JR. PHARMACIST (PHARMACY MANAGER)
(828) 754-2184
Entity
Organization
Contact information
Practice address
935 BLOWING ROCK BLVD, LENOIR, NC 28645-3785
(828) 754-2184
(828) 754-2462
Mailing address
935 BLOWING ROCK BLVD, LENOIR, NC 28645-3785
(828) 754-2184
(828) 754-2462
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5920
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145375
—
NC
Enumeration date
07/29/2014
Last updated
07/29/2014
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