Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellisville Drug Acquisition Co

Organization Pharmacy · NPI 1396829438

Ellisville Drug Acquisition Co is a Pharmacy in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
2

Practice location Address checks out

915 Hill St
Ellisville, MS 39437-2419
Phone: (601) 477-3573
Fax: (601) 477-3572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X · Licence 00140011 (MS)

Record details

NPI number1396829438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Keaveny — Contracting Manager · (612) 227-7811
Other names Ellisville Drug
NPI enumeratedOctober 25, 2006
Last updated in NPPESApril 27, 2010
Mailing address803 Highway 71 N, Mena, AR 71953-4367

Other providers in Ellisville