Individual
PAMELA SUE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
VA MEDICAL CENTER, 1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
4136 BITTERSWEET LANE, GREENWOOD, IN 46142-7403
(317) 881-1195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016922A
IN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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