JASON TED ELLIS

SPENCER, IA
NPI1285197673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IA  18437)
Enumeration Date2019-04-11
Last Update Date2019-04-11
Business Address
JASON TED ELLIS Rph
500 11TH ST SW
SPENCER, IA 51301-5826
Phone number: 712-262-5011
Mailing Address
JASON TED ELLIS Rph
1503 W 13TH ST
SPENCER, IA 51301-2925
Phone number: 712-260-6120