Charles Ray Ellexson, rph
Pharmacist in Bonham, TX. Individual provider (NPI-1).
NPI number1619086709
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619086709
- Entity type
- Individual (NPI-1)
- Name
- Charles Ray Ellexson
- Credential
- rph
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28257 | TX | Yes |
| 183500000X | Pharmacist | 8283 | OK |
Practice location
1201 E 9th StBonham, TX 75418-4059
Phone 903-583-6787
Mailing address
4774 Old Highway 70Durant, OK 74701-0704
Phone 580-924-4549
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All 17 Pharmacist providers in Bonham · All 313 providers in Bonham
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