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NPI 1124596630

IndividualActive

Krystal Ellis, CPHT

NPI 1124596630 · Pharmacy Technician · Houma, LA

Provider details

NPI number: 1124596630
Entity type: Individual
Primary specialty: Pharmacy TechnicianPharmacy Service Providers
Credential: CPHT
Sex: Female
Sole proprietor: No
License: 6462 (LA)

Practice location

6096 W Park Ave

Houma, LA 70364-1808

Phone: (985) 876-2584

Fax: (985) 876-5050

More LA providers

Mailing address

6096 W Park Ave

Houma, LA 70364-1808

Registry dates

Enumerated: 2018-11-02
Last updated: 2018-11-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Krystal Ellis, CPHT — NPI 1124596630, Houma, LA | NPI Central