Individual provider · NPI-1

Dr. Stephanie J Ellis, PharmD

Pharmacist · Loxahatchee, FL

NPI number1124538491
StatusActive
Last updated in NPPESOct 2, 2017

Details

NPI
1124538491
Entity type
Individual (NPI-1)
Name
Dr. Stephanie J Ellis
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2017
Last updated
Oct 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS57157FLYes

Practice location

12001 Southern Blvd
Loxahatchee, FL 33470-4994

Phone 561-784-7407

Mailing address

2200 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-3402

Phone 561-615-0415

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