GERALD ELLIS

FORT WAYNE, IN
NPI1487066676
Professional NameGERALD ELLIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: IN  26023966A)
Enumeration Date2014-05-22
Last Update Date2014-05-22
Business Address
-- GERALD ELLIS
10301 E STATE ROAD 37
FORT WAYNE, IN 46835-9591
Phone number: 260-492-1333
Mailing Address
-- GERALD ELLIS
6206 TWISTED OAK CT
FORT WAYNE, IN 46835-2649
Phone number: 260-402-5429
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