Ellisville State School
NPI #1578668901 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1578668901
- Entity Type
- Organization
- Organization Name
- Ellisville State School
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Dec 17, 2019
Practice Location
- Address
- 1101 HIGHWAY 11 S
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-4443
- Phone
- (601) 477-5785
Authorized Official
- Name
- PATTI WELCH, RPH
- Title
- PHCY DIR
- Phone
- (601) 477-5784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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