Ellis, Timothy Michael

Ellis, Timothy Michael is an sole proprietor health care provider with primary practice located at 26 Laurelhart Ln , Simpsonville SC 29281-3909. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellis, Timothy Michael can be contacted via phone (864) 714-9899.

Contact Information

Primary practice address
26 Laurelhart Ln Simpsonville SC 29281-3909
Phone: (864) 714-9899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13922 South Carolina
Pharmacy Service Providers / Pharmacist 183500000X 22700 North Carolina

Profile Details

NPI number 1790040863
LBN Legal business name Ellis, Timothy Michael
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2012
Last updated Oct 3rd, 2021 - about 5 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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