Jessica Dyanne Ellis, | |
800 E Main St, Locust Grove, OK 74352-5184 | |
(918) 479-4815 | |
(918) 479-4817 |
Full Name | Jessica Dyanne Ellis |
---|---|
Gender | Female |
Speciality | Pharmacist |
Location | 800 E Main St, Locust Grove, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659976546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 15269 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica Dyanne Ellis, 800 E Main St, Locust Grove, OK 74352-5184 Ph: (918) 479-4815 | Jessica Dyanne Ellis, 800 E Main St, Locust Grove, OK 74352-5184 Ph: (918) 479-4815 |
Chou Thao, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Locust Grove, OK 74352 Phone: 918-479-4815 | |
Chelsi Moss, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Walmart Pharmacy, 800 E Main St, Locust Grove, OK 74352 Phone: 918-479-4815 | |
Gabrielle Page, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Locust Grove, OK 74352 Phone: 918-479-4815 |