Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROSE ELLIS, R.PH.
ActiveROSE ELLIS, R.PH. is a Nutrition Support Pharmacist healthcare provider located in STOCKTON, California. NPI 1750363636 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · STOCKTON, CA
Registration Details
- NPI Number
- 1750363636
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2005 (20.731903536406 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
30597 (CA)30597 (CA)
Practice Information
- Address
-
1800 N CALIFORNIA STHOME INFUSION PHARMACYSTOCKTON, CA, 952046019Browse CA providers · Browse ZIP 95204
- Phone
- 2094615486
- Fax
- 2094616890
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
- Additional Specialty
- Nutrition Support Pharmacist
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.