Dr. Charles K Ellis, Pharm D
Pharmacist in Mulberry, FL. Individual provider (NPI-1).
NPI number1124366703
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1124366703
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles K Ellis
- Credential
- Pharm D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2013
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | ps32584 | FL | Yes |
Practice location
2040 Shepherd RdMulberry, FL 33860-8699
Phone 863-644-5929
Mailing address
2040 Shepherd RdMulberry, FL 33860-8699
Phone 863-644-5929
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All 11 Pharmacist providers in Mulberry · All 118 providers in Mulberry
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