Patri Ellis is a Pharmacist in Louisville, Mississippi. Patri Ellis practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Patri Ellis is 1235228461. The last update date is 2023-03-07.
Patri Ellis's current location address is 403 S Church Ave, Louisville, Mississippi. You can contact this provider via phone number 6627737847 and fax number 6627737844. The mailing address for Patri Ellis is 403 S Church Ave, Louisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patri Ellis |
|---|---|
| Address | 403 S Church Ave, Louisville, Mississippi |
| Phone Number | 6627737847 |
| Fax Number | 6627737844 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1235228461 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 403 S Church Ave |
|---|---|
| City | Louisville |
| State | Mississippi (MS) |
| Post Code | 393392921 |
| Phone Number | 6627737847 |
| Fax Number | 6627737844 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 01826/01.1 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30300 | MS | -- | |
| 2514063 | MS | NABP NUMBER |
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What is the unique identification code assigned to Patri Ellis by the Centers for Medicare & Medicaid Services?
The Patri Ellis has been issued the NPI (National Provider Identifier) 1235228461. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patri Ellis located?
The Patri Ellis is located at 403 S Church Ave, Louisville, MS 393392921.
What is Patri Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patri Ellis is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did Patri Ellis receive its 1235228461 assignment from the Centers for Medicare & Medicaid Services?
The Patri Ellis was assigned its 1235228461 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Patri Ellis most recently updated or refreshed?
The details pertaining to the Patri Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
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