Ellisor, Jennifer Robin

Ellisor, Jennifer Robin is an individual health care provider with primary practice located at 101 Professional Ave , West Columbia SC 29169-4711. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ellisor, Jennifer Robin can be contacted via phone (803) 794-6440.

Contact Information

Primary practice address
101 Professional Ave West Columbia SC 29169-4711
Phone: (803) 794-6440
Fax: (803) 739-1420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 009029 South Carolina

Profile Details

NPI number 1790999050
LBN Legal business name Ellisor, Jennifer Robin
Credentials RPH, PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1790999050 NPPES
South Carolina Other 009029 STATE LICENSE

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