Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK ALDOR ELLINGSON, R.PH.
ActiveMR. MARK ALDOR ELLINGSON, R.PH. is a Pharmacist healthcare provider located in OSBURN, Idaho. NPI 1659768034 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · OSBURN, ID
Registration Details
- NPI Number
- 1659768034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2015 (11.287467300774 yrs)
- Last Updated
- Apr 23, 2015
- License
-
P7037 (ID)
Practice Information
- Address
-
805 MULLAN AVENUEBOX 2170OSBURN, ID, 83849Browse ID providers · Browse ZIP 83849
- Phone
- 2087521028
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.