| Charles Ellerman, | |
|
2610 W Haven Rd, Lawrenceville, IL 62439-3345 | |
| (618) 943-5515 | |
| Not Available |
| Full Name | Charles Ellerman |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 2610 W Haven Rd, Lawrenceville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932709151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051.293163 (Illinois) | Secondary |
| 183500000X | Pharmacist | 26022434A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Ellerman, 1803 S Lost Rd, Monroe City, IN 47557-7315 Ph: (812) 887-4259 | Charles Ellerman, 2610 W Haven Rd, Lawrenceville, IL 62439-3345 Ph: (618) 943-5515 |
Eric W Gay, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1421 State St, Lawrenceville, IL 62439 Phone: 618-943-7571 Fax: 618-943-2323 | |
Ashley Renae Rinsch, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1421 State St, Lawrenceville, IL 62439 Phone: 618-943-7571 Fax: 618-943-2323 | |
Anne Augustine Rickert, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2610 W Haven Rd, Lawrenceville, IL 62439 Phone: 618-943-5515 |