James Russell Ellison, PharmD
Pharmacist in Independence, MO. Individual provider (NPI-1).
NPI number1083170153
StatusActive
Last updated in NPPESMay 6, 2022
Details
- NPI
- 1083170153
- Entity type
- Individual (NPI-1)
- Name
- James Russell Ellison
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2019
- Certification date
- May 6, 2022
- Last updated
- May 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 18552-40 | WI | Yes |
| 183500000X | Pharmacist | 1-106867 | KS | |
| 183500000X | Pharmacist | 2019014830 | MO |
Practice location
3411 S Noland RdIndependence, MO 64055-1319
Phone 816-252-0094
Mailing address
10024 W 118th Ter Apt 8Overland Park, KS 66210-3193
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