Ellisville State School
Ellisville State School 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
1101 Highway 11 SEllisville, MS 39437-4443
Phone: (601) 477-5785
Fax: (601) 477-5687
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 01185031 (MS) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1578668901 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patti Welch — Phcy Dir · (601) 477-5784 |
| Other names | Ellisville State School Pharmacy; Ellisville State School Pharmacy |
| NPI enumerated | September 13, 2006 |
| Last updated in NPPES | December 17, 2019 |
| Certification date | December 17, 2019 |
| Mailing address | 1101 Highway 11 S, Ellisville, MS 39437-4443 |
Other providers in Ellisville
-
Ellisville Drug Acquisition Co
915 Hill St, Ellisville, MS 39437-2419 · (601) 477-3573
-
Mr. Clarence Lee Middleton, RPH
122 S Frnt ST, Ellisville, MS 39437-3118 · (601) 477-8587