Ellis, Gerald
Ellis, Gerald is an individual health care provider with primary practice located at 676 University Blvd S , Mobile AL 36609-7866. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellis, Gerald can be contacted via phone (800) 486-8792.Contact Information
Primary practice address
676 University Blvd S
Mobile AL 36609-7866
Phone: (800) 486-8792
Fax: (800) 486-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 6652 | Alabama |
Profile Details
| NPI number | 1245377134 |
|---|---|
| LBN Legal business name | Ellis, Gerald |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245377134 | NPPES |
| Alabama | Other | 6652 | AL PHARMACIST LICENSE |
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