Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarence Peacock Ellison Jr.

Individual provider Pharmacist · NPI 1245914357

Clarence Peacock Ellison Jr. is a Pharmacist in Goldsboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

1103 Wayne Memorial Dr
Goldsboro, NC 27534-2957
Phone: (919) 735-0400
Fax: (919) 735-3530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10902 (NC)

Record details

NPI number1245914357
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 10, 2023

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