Charles K. Ellis, PHARM D

Pharmacist · Mulberry, FL

Individual Active NPI

NPI number 1124366703

Practice location

2040 Shepherd Rd
Mulberry, FL 33860-8699
Phone
(863) 644-5929

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NPI record

NPI
1124366703
Entity type
Individual (Type 1)
Enumeration date
January 16, 2013
Last updated
January 16, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS32584 FL

About Dr. Ellis

Charles K. Ellis, PHARM D is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2040 Shepherd Rd, Mulberry, FL 33860-8699. The NPI number 1124366703 was assigned on January 16, 2013 and the record was last updated on January 16, 2013.

Dr. Ellis lists a license in the registry: #PS32584 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles K. Ellis, PHARM D?

The NPI number is 1124366703.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (863) 644-5929.

Where is Dr. Ellis located?

2040 Shepherd Rd, Mulberry, FL 33860-8699.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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