person
Mr. Mark Aldor Ellingson, RPH
Pharmacist in Osburn, Idaho
NPI 1659768034

Mark Aldor Ellingson is a Pharmacist based in Osburn, ID. Mark Aldor Ellingson practices in Osburn, ID and has the professional credentials of RPH. The NPI Number for Mark Aldor Ellingson is 1659768034 and holds a License No. P7037 (Idaho).

The current practice location address for Mark Aldor Ellingson is 805 Mullan Avenue, Osburn, ID and can be reached out via phone at 208-752-1028.

Location: 805 Mullan Avenue, Osburn, ID, 83849
person
Provider Profile Details
NPI Number
1659768034
Provider Name
Mark Aldor Ellingson
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
805 Mullan Avenue, Osburn, ID, 83849
Phone Number
208-752-1028
Fax Number
Provider Enumeration Date
04/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002450000 05 ID
institution
Provider Business Practice Location Address Details
Address
805 Mullan Avenue
City
State
Zip
83849
Phone Number
208-752-1028
Fax Number
person
Provider Business Mailing Address Details
Address
805 Mullan Avenue
City
State
Zip
83849
Phone Number
208-752-1028
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
P7037 (Idaho)
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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