Jellison, Justin Todd
Jellison, Justin Todd is an individual health care provider with primary practice located at 400 Ne Mother Joseph Pl , Vancouver WA 98664-3200. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jellison, Justin Todd can be contacted via phone (360) 514-2061.Contact Information
Primary practice address
400 Ne Mother Joseph Pl
Vancouver WA 98664-3200
Phone: (360) 514-2061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH00065253 | Washington |
Profile Details
| NPI number | 1437369618 |
|---|---|
| LBN Legal business name | Jellison, Justin Todd |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 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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