Individual provider · Type 1 NPI

Bradley Ellis

Pharmacist · Bay Pines, FL

NPI number 1356012108 Active

Practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Call (727) 398-6661 Map

Mailing address

4115 2nd Ave NE
Bradenton, FL 34208-5421

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP9679 (ID)

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 1356012108

Bradley Ellis's National Provider Identifier is 1356012108, issued on Sep 22, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bay Pines, FL. The record was last updated on Sep 22, 2021.