Search › Idaho › 183500000X
Larry Ellis, RPH
NPI 1710138771 · on the registry since 2008
Practice
- Address
- 10 S Main St
Driggs, ID 83422 - Phone
- (208) 354-2334
- Organisation at this address
- Hunters Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho