Rose Ellis is a pharmacist who is specialized in Nutrition Support in Stockton, California. Patients can reach her at 1800 N California St, Home Infusion Pharmacy, Stockton or contact her on 209-461-5486. Active license number of Rose Ellis is 30597 for Nutrition Support in California. Rose Ellis is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Complete Profile:
Rose Ellis speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Rose Ellis
Specialization:
Nutrition Support
Credentials:
R.PH.
Gender:
Female
Location:
1800 N California St, Home Infusion Pharmacy, Stockton, California, 95204-6019
Phone:
209-461-5486
Fax:
209-461-6890
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 Rose Ellis are as mentioned below.
NPI Number:
1750363636
NPI Enumeration Date:
16 Nov, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rose Ellis are as mentioned below.
Specialization
License Number
State
Status
Nutrition Support
30597
California
Primary
Pharmacist
30597
California
Secondary
Nutrition Support
30597
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Rose Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
30597
Other
California
Calif. License Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1200 S Sunset Dr, Lodi, California
Zip:
95240-5532
Phone Number:
209-595-7147
Fax Number:
209-461-6890
Patients can reach Rose Ellis at 1800 N California St, Home Infusion Pharmacy, Stockton, California or can call on phone at 209-461-5486.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.