Mary Margaret Ellison, RPH Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1871876953
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 042428 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-24
- Last updated
- 2011-09-24
Practice location
1490 Mexico Loop Rd E
O Fallon, MO 63366-6015
(636) 978-1602