KENT A ELLIS
Individual Provider (NPI-1)
Active
Pharmacist, Oncology
Provider Information
- NPI Number
1457481210- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 144 STATE ST, PORTLAND, ME, 041013776
- Phone
- (207) 553-6787
Specialties & Taxonomies
Pharmacist, Oncology
Primary License: ME #PR3788
Pharmacist, Oncology
License: ME #11900
Pharmacist, Oncology
License: OR #10751