NPI 1124596630

Krystal Lynn Ellis, CPHT

Practitioner Pharmacy Technician Houma, LA

Practice location

Address: 6096 W Park Ave, Houma, LA 70364-1808
Phone: (985) 876-2584
Fax: (985) 876-5050

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 6462 (LA)

Other Pharmacy Technician providers in Louisiana →

Registry record

NPI: 1124596630
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2018
Record last updated: 2 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.