Individual
STEPHANIE GRAINGER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4459 TARHEEL DR, PINK HILL, NC 28572-9649
(252) 568-9945
Mailing address
8013 REUNION RD, WILMINGTON, NC 28411-9271
(910) 617-0766
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
13032
NC
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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