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Mr. Ellis Rodney Derouen, RPH
Pharmacist in Woodville, Texas
NPI 1033269568

Ellis Rodney Derouen is a Pharmacist based in Woodville, TX. Ellis Rodney Derouen practices in Woodville, TX and has the professional credentials of RPH. The NPI Number for Ellis Rodney Derouen is 1033269568 and holds a License No. 15009 (Texas).

The current practice location address for Ellis Rodney Derouen is 1010 W Bluff St, Woodville, TX and can be reached out via phone at 409-283-3073 and via fax at 409-283-2159.

Location: 1010 W Bluff St, Woodville, TX, 75979-4714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033269568
Provider Name
Ellis Rodney Derouen
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1010 W Bluff St, Woodville, TX, 75979-4714
Phone Number
409-283-3073
Fax Number
409-283-2159
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143652 05 TX
4582664 01 TX NCPDP
institution
Provider Business Practice Location Address Details
Address
1010 W Bluff St
City
Woodville
State
Texas
Zip
75979-4736
Phone Number
409-283-3073
Fax Number
409-283-2159
person
Provider Business Mailing Address Details
Address
1010 W Bluff St
City
Woodville
State
Texas
Zip
75979-4736
Phone Number
409-283-3073
Fax Number
409-283-2159
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
15009 (Texas)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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