Individual provider · Type 1 NPI

Jason Ted Ellis, RPH

Pharmacist · Spencer, IA

NPI number 1285197673 Active

Practice location

500 11th St SW
Spencer, IA 51301-5826

Fax (712) 262-5469

Mailing address

1503 W 13th St
Spencer, IA 51301-2925

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X18437 (IA)

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 1285197673

Jason Ted Ellis, RPH's National Provider Identifier is 1285197673, issued on Apr 11, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Spencer, IA. The record was last updated on Apr 11, 2019.