Ellerup, Johanna Kristin

Ellerup, Johanna Kristin is an individual health care provider with primary practice located at 99 N Maple St , North Massapequa NY 11758-2636. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Ellerup, Johanna Kristin can be contacted via phone (516) 509-8185.

Contact Information

Primary practice address
99 N Maple St North Massapequa NY 11758-2636
Phone: (516) 509-8185
Fax: (516) 799-8286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 079733 New York
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 055468 New York

Profile Details

NPI number 1497957690
LBN Legal business name Ellerup, Johanna Kristin
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated May 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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