Ellisville Drug Acquisition Co.

NPI 1396829438 - Pharmacy - 333600000X

NPI Details
NPI 1396829438
Enumeration Date 10/25/2006
Last Updated 04/27/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBORAH R DEBORAH
Position CONTRACTING MANAGER
Phone (601) 477-3573
Fax (601) 477-3572
Practice Location
915 HILL ST
ELLISVILLE MS, 39437-2419, US
Phone (601) 477-3573
Fax (601) 477-3572
Business Location
803 HIGHWAY 71 N
MENA AR, 71953-4367, US
Phone (479) 394-6363
Fax (479) 394-1046
Toxanomy
Taxonomy Code 333600000X
License State Mississippi
License Number 00140011
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According to our database, Ellisville Drug Acquisition Co. NPI is 1396829438, taxonomy code is 333600000X and license number is 00140011, license state is located at Mississippi. Ellisville Drug Acquisition Co. physically located at 915 Hill St, Ellisville MS, 39437-2419. NPI Number 1033115704 has the healthcare provider type.

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1396829438 NPI number is provided on an as is basis without warranty of any kind. 1396829438 is maintained by the National Plan & Provider Enumeration System. The contents of Ellisville Drug Acquisition Co. are for informational purposes only.