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Ellsworth P Gast
Pharmacist in Green Bay, Wisconsin
NPI 1003186073

Ellsworth P Gast is a Pharmacist based in Green Bay, WI. Ellsworth P Gast practices in Green Bay, WI. The NPI Number for Ellsworth P Gast is 1003186073 and holds a License No. 7587-040 (Wisconsin).

The current practice location address for Ellsworth P Gast is 1995 Main St, Green Bay, WI and can be reached out via phone at 920-465-6210.

Location: 1995 Main St, Green Bay, WI, 54302-5214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003186073
Provider Name
Ellsworth P Gast
Credential
Provider Entity Type
Individual
Gender
Male
Address
1995 Main St, Green Bay, WI, 54302-5214
Phone Number
920-465-6210
Fax Number
Provider Enumeration Date
01/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1995 Main St
City
Green Bay
State
Wisconsin
Zip
54302-3920
Phone Number
920-465-6210
Fax Number
person
Provider Business Mailing Address Details
Address
1995 Main St
City
Green Bay
State
Wisconsin
Zip
54302-3920
Phone Number
920-465-6210
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
7587-040 (Wisconsin)
Definition
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.
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