Individual
CORY SCOTT ELLERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1816 E 2ND ST, DEFIANCE, OH 43512-2502
(419) 782-7832
Mailing address
195 EASTOWNE DR, OTTAWA, OH 45875-8719
(419) 890-6830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03135776-1
OH
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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