Mr. Mark Aldor Ellingson
Pharmacist
805 Mullan Avenue, Box 2170, Osburn
Idaho, 83849
208-752-1028 Mr. Mark Aldor Ellingson is a pharmacist in Osburn, Idaho. Patients can reach him at 805 Mullan Avenue, Box 2170, Osburn or contact him on 208-752-1028. Active license number of Mr. Mark Aldor Ellingson is P7037 for Pharmacist in Idaho.
Mr. Mark Aldor Ellingson is 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mr. Mark Aldor Ellingson speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Mark Aldor Ellingson |
| Specialization: | Pharmacist |
| Credentials: | R.PH. |
| Gender: | Male |
| Location: | 805 Mullan Avenue, Box 2170, Osburn,
Idaho, 83849 |
| Phone: | 208-752-1028 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Mark Aldor Ellingson are as mentioned below.
| NPI Number: | 1659768034 |
| NPI Enumeration Date: | 23 Apr, 2015 |
| NPI Last Update On: | 23 Apr, 2015 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark Aldor Ellingson are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | P7037 | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Mark Aldor Ellingson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 002450000 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 805 Mullan Avenue,
Osburn, Idaho |
| Zip: | 83849 |
| Phone Number: | 208-752-1028 |
Patients can reach Mr. Mark Aldor Ellingson at
805 Mullan Avenue, Box 2170, Osburn, Idaho or can
call on phone at 208-752-1028.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.