NPI | 1417701061 |
---|---|
Doing Business As | ELLISON FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | LEVI ELLISON Pharmacist And Owner 479-385-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |