Individual provider · Type 1 NPI
Clarence Peacock Ellison Jr.
Pharmacist · Goldsboro, NC
Practice location
1103 Wayne Memorial Dr
Goldsboro, NC 27534-2957
Fax (919) 735-3530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 10902 (NC) |
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…
Another provider at this address
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About NPI 1245914357
Clarence Peacock Ellison Jr.'s National Provider Identifier is 1245914357, issued on Jun 12, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Goldsboro, NC. The record was last updated on Jun 12, 2023.