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Individual

JUDITH BELINDA ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
129 GILL ST, ALCOA, TN 37701
(865) 984-7704
Mailing address
920 KENSINGTON BLVD, MARYVILLE, TN 37803
(865) 982-4975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11651
TN

Other

Enumeration date
05/04/2007
Last updated
07/08/2007
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