Studdard, Ellie

Studdard, Ellie is an sole proprietor health care provider with primary practice located at 2727 Exposition Blvd , Austin TX 78703-1228. She recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Studdard, Ellie can be contacted via phone (512) 478-6419.

Contact Information

Primary practice address
2727 Exposition Blvd Austin TX 78703-1228
Phone: (512) 478-6419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 60742 Texas
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 60742 Texas
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 60742 Texas
Pharmacy Service Providers / Ambulatory Care 1835P2201X 60742 Texas
Pharmacy Service Providers / Pharmacist 183500000X 60742 Texas

Profile Details

NPI number 1093348930
LBN Legal business name Studdard, Ellie
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2020
Last updated Feb 19th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093348930 NPPES
Texas Other 60742 LICENSE NUMBER

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