IndividualActive
Rose Ellis, R.PH.
NPI 1750363636 · Nutrition Support Pharmacist · Stockton, CA
Provider details
- NPI number
- 1750363636
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Female
- Sole proprietor
- No
- License
- 30597 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1800 N California St
Home Infusion Pharmacy
Stockton, CA 95204-6019
Phone: (209) 461-5486
Fax: (209) 461-6890
Approximate (ZIP-level) locationGet directions
Mailing address
1200 S Sunset Dr
Lodi, CA 95240-5532
Registry dates
- Enumerated
- 2005-11-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.