Individual provider · Type 1 NPI

Timothy Michael Ellis, PharmD

Pharmacist · Simpsonville, SC

NPI number 1790040863 Active

Practice location

26 Laurelhart Ln
Simpsonville, SC 29281-3909

Mailing address

26 Laurelhart Lane
Simpsonville, SC 29681

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13922 (SC)
Pharmacist 183500000X22700 (NC)

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 1790040863

Timothy Michael Ellis, PharmD's National Provider Identifier is 1790040863, issued on Jul 5, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Simpsonville, SC. The record was last updated on Oct 3, 2021.