Individual provider · Type 1 NPI

Mark Aldor Ellingson, R.PH.

Pharmacist · Osburn, ID

NPI number 1659768034 Active

Practice location

805 Mullan Avenue, Box 2170
Osburn, ID 83849

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP7037 (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…

About NPI 1659768034

Mark Aldor Ellingson, R.PH.'s National Provider Identifier is 1659768034, issued on Apr 23, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Osburn, ID. The record was last updated on Apr 23, 2015.