Ellis, Mark

Ellis, Mark is an sole proprietor health care provider with primary practice located at 10048 Charlotte Hwy , Indian Land SC 29707-7135. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellis, Mark can be contacted via phone (803) 802-1818.

Contact Information

Primary practice address
10048 Charlotte Hwy Indian Land SC 29707-7135
Phone: (803) 802-1818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6745 South Carolina

Profile Details

NPI number 1902295389
LBN Legal business name Ellis, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2015
Last updated Jan 26th, 2015 - about 10 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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