Dora Ellegood Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1255935474
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2015029065 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-11-29
- Last updated
- 2020-11-29
Practice location
3002 Highway K
O Fallon, MO 63368-8675
(636) 272-5856