Ellisville State School in Ellisville - Long Term Care Pharmacy
Ellisville State School - NPI 1578668901
Ellisville State School is a Long Term Care Pharmacy in Ellisville, Mississippi. Ellisville State School practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Ellisville State School is 1578668901. The last update date is 2019-12-17.
Ellisville State School's current location address is 1101 Highway 11 S, Ellisville, Mississippi. You can contact this provider via phone number 6014775785 and fax number 6014775687. The mailing address for Ellisville State School is 1101 Highway 11 S, Ellisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellisville State School |
|---|---|
| Address | 1101 Highway 11 S, Ellisville, Mississippi |
| Phone Number | 6014775785 |
| Fax Number | 6014775687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHCY DIR |
|---|---|
| Authorized Official Name | Welch Patti |
| Credentials | RPH |
| Telephone Number | 6014775784 |
NPI Number Detail
| NPI Number | 1578668901 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2019-12-17 |
Provider Mailing Address Detail
| Address | 1101 Highway 11 S |
|---|---|
| City | Ellisville |
| State | Mississippi (MS) |
| Post Code | 394374443 |
| Phone Number | 6014775785 |
| Fax Number | 6014775687 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 1185031 |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2050712 | PK | ||
| 30384 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ellisville State School by the Centers for Medicare & Medicaid Services?
The Ellisville State School has been assigned the NPI (National Provider Identifier) 1578668901 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ellisville State School is located?
The Ellisville State School is situated at the following address: 1101 Highway 11 S, Ellisville, MS, 394374443.
What is Ellisville State School's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ellisville State School is Long Term Care Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336L0003X.
On what date was the 1578668901 assigned to Ellisville State School?
The Ellisville State School was issued its 1578668901 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ellisville State School most recently updated or refreshed?
The details pertaining to the Ellisville State School, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-12-17.