| NPI | 1841252772 |
|---|---|
| Doing Business As | ELLIS PRESCRIPTION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WALTER CWIETNIEWICZ R Ph/Prop 215-765-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410688L) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2017-03-01 |