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Gerald Ellis — NPI 1487066676, Fort Wayne, IN | NPI Central

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Gerald Ellis

NPI 1487066676 · Pharmacotherapy Pharmacist · Fort Wayne, IN

Provider details

NPI number: 1487066676
Entity type: Individual
Primary specialty: Pharmacotherapy PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: 26023966A (IN)

Practice location

10301 E State Road 37

Fort Wayne, IN 46835-9591

Phone: (260) 492-1333

More IN providers

Mailing address

6206 Twisted Oak Ct

Fort Wayne, IN 46835-2649

Registry dates

Enumerated: 2014-05-22
Last updated: 2014-05-22

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