Mark Ellis

NPI 1902295389 · on the registry since 2015 · sole proprietor

Practice

Address: 10048 Charlotte Hwy
Indian Land, SC 29707
Phone: (803) 802-1818
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East Lp
Indian Land Eye Care Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-01-26

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 South Carolina