Ellis, Eugenia

Ellis, Eugenia is an individual health care provider with primary practice located at 14011 Park Ave , Victorville CA 92392-2413. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ellis, Eugenia can be contacted via phone (760) 843-2072.

Contact Information

Primary practice address
14011 Park Ave Victorville CA 92392-2413
Phone: (760) 843-2072
Fax: (760) 843-2095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 40298 California

Profile Details

NPI number 1740343557
LBN Legal business name Ellis, Eugenia
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
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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