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KURT ELLISON PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1306449186

Individual Registrant:
 KURT  ELLISON PHARMD
Gender: M
Sole Proprietor

Location and contact information for practice:
14355 W NEWBERRY RD  NEWBERRY, FL 32669-2848 US
Tel: 352-331-4639  Fax: 352-331-4208

Contact information for business:
14355 W NEWBERRY RD  NEWBERRY, FL 32669-2848 US
Tel: 352-682-0767  Fax: --

Registration Information:
NPI: 1306449186
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS35831

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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