| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RYAN ELLIS | 1437758828 | 2020-10-18 |
Ryan Ellis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437758828. Registration indicates Ryan Ellis is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Ryan Ellis |
| Practice Office Address | 3575 BRIDGE RD SUFFOLK, VA US |
| Practice Office Telephone | 7579470236 |
| Mailing Address | 50 KILVERSTONE WAY HAMPTON, VA 236694818 US |
| Business Telephone | 7573468002 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 0202210640
VA |