Individual provider · Type 1 NPI

Datuo Ellis-Wilcox

Pharmacist · Roselle, NJ

NPI number 1265647606 Active

Practice location

Roselle Center Pharmacy, 570 Raritan Road
Roselle, NJ 07203

Call (908) 245-4600 Map

Mailing address

105 Independence Dr
Roselle, NJ 07203-2410

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	RI19017 (NJ)

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 1265647606

Datuo Ellis-Wilcox's National Provider Identifier is 1265647606, issued on May 11, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Roselle, NJ. The record was last updated on Jul 8, 2007.