| NPI | 1407556608 |
|---|---|
| Doing Business As | ELLISON FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEVI ELLISON Owner 501-701-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-08-01 |