MR. Ellis Rodney Derouen, R.PH

NPI #1033269568 in Woodville, Texas

Provider Information

NPI Number
1033269568
Entity Type
Individual
Name
MR. Ellis Rodney Derouen, R.PH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Jan 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1010 W BLUFF ST
State
Texas
ZIP Code
75979-4736
Phone
(409) 283-3073

Specialties & Taxonomy Codes

Specialty
Pharmacist

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