Jody Ellingson is a Pharmacist in Long Prairie, Minnesota. Jody Ellingson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jody Ellingson is 1801902317. The last update date is 2007-07-23.
Jody Ellingson's current location address is 26564 315th Ave, Long Prairie, Minnesota. You can contact this provider via phone number 2188948761 and fax number 2188948762. The mailing address for Jody Ellingson is 26564 315th Ave, Long Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Ellingson |
|---|---|
| Address | 26564 315th Ave, Long Prairie, Minnesota |
| Phone Number | 2188948761 |
| Fax Number | 2188948762 |
| Sole Proprietor | N |
| Credentials | PHARM.D |
NPI Number Detail
| NPI Number | 1801902317 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 26564 315th Ave |
|---|---|
| City | Long Prairie |
| State | Minnesota (MN) |
| Post Code | 563474653 |
| Phone Number | 2188948761 |
| Fax Number | 2188948762 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5451 |
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Definition: 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 m |
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Post Comment/ Review Below
What is the Jody Ellingson's 1801902317?
The Jody Ellingson's NPI (National Provider Identifier) Number is 1801902317. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jody Ellingson's physical address?
The Jody Ellingson is physically located at 26564 315Th Ave, in the city of Long Prairie, MN, with the postal code 563474653.
What is the Jody Ellingson's area of specialization and corresponding taxonomy classification?
The Jody Ellingson's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Jody Ellingson receive its 1801902317 assignment from the Centers for Medicare & Medicaid Services?
The Jody Ellingson was assigned its 1801902317 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the Jody Ellingson's details last updated?
The information pertaining to the Jody Ellingson, including its address, specialty, and other details, was most recently updated on 2007-07-23.