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1437476256
TODD ELLSWORTH
AUSTIN, TX
NPI
1437476256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 36766)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
-- TODD ELLSWORTH Rph
500 CANYON RIDGE DR
AUSTIN, TX 78753-1632
Phone number: 512-973-8753
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Mailing Address
-- TODD ELLSWORTH Rph
500 CANYON RIDGE DR
AUSTIN, TX 78753-1632
Phone number: 512-973-8753
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