Ellis, Brady

Ellis, Brady is an individual health care provider with primary practice located at 1536 N Jefferson St , Jacksonville FL 32209-6525. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Ellis, Brady can be contacted via phone (904) 475-5800.

Contact Information

Primary practice address
1536 N Jefferson St Jacksonville FL 32209-6525
Phone: (904) 475-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PS52147 Florida

Profile Details

NPI number 1831716034
LBN Legal business name Ellis, Brady
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2020
Last updated Jun 22nd, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831716034 NPPES
Florida MEDICAID 1194790055

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