KELLIE RAE ELLYSON

COLUMBIA, MO
NPI1447852363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2020020031)
Enumeration Date2020-11-16
Last Update Date2022-08-29
Business Address
KELLIE RAE ELLYSON PHARMD
405 E NIFONG BLVD
COLUMBIA, MO 65201-3708
Phone number: 573-442-8616
Mailing Address
KELLIE RAE ELLYSON PHARMD
1102 YIOTIS WAY
COLUMBIA, MO 65203-6660
Phone number: 660-346-0322