Ellis, Nicholas Daniel

Ellis, Nicholas Daniel is an individual health care provider with primary practice located at 5421 W Thunderbird Rd , Glendale AZ 85306-4751. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Ellis, Nicholas Daniel can be contacted via phone (602) 547-9645.

Contact Information

Primary practice address
5421 W Thunderbird Rd Glendale AZ 85306-4751
Phone: (602) 547-9645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Pharmacy Service Providers / Pharmacist 183500000X S021627 Arizona

Profile Details

NPI number 1811378813
LBN Legal business name Ellis, Nicholas Daniel
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Oct 2nd, 2015 - about 11 years 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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