Individual provider · Type 1 NPI

John Ellis Iv

Pharmacist · Newnan, GA

NPI number 1063013613 Active

Practice location

135 Rudders Xing
Newnan, GA 30263-7032

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH024504 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063013613

John Ellis Iv's National Provider Identifier is 1063013613, issued on Nov 2, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Newnan, GA. The record was last updated on Nov 2, 2020.