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Krystal Lynn Ellis, CPHT
Pharmacy Technician in Houma, Louisiana
NPI 1124596630

Krystal Lynn Ellis is a Pharmacy Technician based in Houma, LA. Krystal Lynn Ellis practices in Houma, LA and has the professional credentials of CPHT. The NPI Number for Krystal Lynn Ellis is 1124596630 and holds a License No. 6462 (Louisiana).

The current practice location address for Krystal Lynn Ellis is 6096 W Park Ave, Houma, LA and can be reached out via phone at 985-876-2584 and via fax at 985-876-5050.

Location: 6096 W Park Ave, Houma, LA, 70364-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124596630
Provider Name
Krystal Lynn Ellis
Credential
CPHT
Provider Entity Type
Individual
Gender
Female
Address
6096 W Park Ave, Houma, LA, 70364-1808
Phone Number
985-876-2584
Fax Number
985-876-5050
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6462PT 01 LA BOARD OF PHARMACY LIC# 6462PT
institution
Provider Business Practice Location Address Details
Address
6096 W Park Ave
City
Houma
State
Louisiana
Zip
70364-1808
Phone Number
985-876-2584
Fax Number
985-876-5050
person
Provider Business Mailing Address Details
Address
6096 W Park Ave
City
Houma
State
Louisiana
Zip
70364-1808
Phone Number
985-876-2584
Fax Number
985-876-5050
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
6462 (Louisiana)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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