Ellett, Gary W

Ellett, Gary W is an individual health care provider with primary practice located at 1251 334Th Street , Woodward IA 50276. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellett, Gary W can be contacted via phone (515) 438-3280.

Contact Information

Primary practice address
1251 334Th Street Woodward IA 50276
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13198 Iowa

Profile Details

NPI number 1184741233
LBN Legal business name Ellett, Gary W
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184741233 NPPES
Iowa Other 13198 PHARMACIST LICENSE

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