Provider Demographics
NPI:1134741572
Name:MCKNIGHT, ELLEN MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:MARIE
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 SETTLES DR
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:TN
Mailing Address - Zip Code:38057-7472
Mailing Address - Country:US
Mailing Address - Phone:901-834-8597
Mailing Address - Fax:
Practice Address - Street 1:1845 S 3RD ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-7717
Practice Address - Country:US
Practice Address - Phone:901-947-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN419511835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist