Individual provider · Type 1 NPI

Rose Ellis, R.PH.

Nutrition Support Pharmacist · Stockton, CA

NPI number 1750363636 Active

Practice location

1800 N California St, Home Infusion Pharmacy
Stockton, CA 95204-6019

Call (209) 461-5486 Map

Fax (209) 461-6890

Mailing address

1200 S Sunset Dr
Lodi, CA 95240-5532

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X30597 (CA)
Nutrition Support Pharmacist Primary 1835N1003X30597 (CA)

Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

483 other providers at this address

About NPI 1750363636

Rose Ellis, R.PH.'s National Provider Identifier is 1750363636, issued on Nov 16, 2005. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Stockton, CA. The record was last updated on Sep 11, 2025.