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MR. NORMAN B ELLIS PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1306069455

Individual Registrant:
MR. NORMAN B ELLIS PHARMACIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
700 MCKINNEY BLVD  COLONIAL BEACH, VA 22443-1925 US
Tel: 804-224-2318  Fax: --

Contact information for business:
101 FAWN HILLS DR  FREDERICKSBURG, VA 22407-1554 US
Tel: 540-785-8726  Fax: --

Registration Information:
NPI: 1306069455
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
VA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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