Gerald Ellis
Gerald Ellis is a Pharmacotherapy Pharmacist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2014.
- Licensed in
- IN
- In the registry since
- 2014
Practice location Address checks out
10301 E State Road 37Fort Wayne, IN 46835-9591
Phone: (260) 492-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacotherapy Pharmacist (primary) | Taxonomy 1835P1200X · Licence 26023966A (IN) |
|---|
Record details
| NPI number | 1487066676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 22, 2014 |
| Last updated in NPPES | May 22, 2014 |
| Mailing address | 6206 Twisted Oak Ct, Fort Wayne, IN 46835-2649 |
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