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Mr. Clarence Lee Middleton, RPH
Pharmacy in Ellisville, Mississippi
NPI 1043749070

Clarence Lee Middleton is a Pharmacy based in Ellisville, MS. Clarence Lee Middleton practices in Ellisville, MS and has the professional credentials of RPH. The NPI Number for Clarence Lee Middleton is 1043749070 and holds a License No. T-13037 (Mississippi).

The current practice location address for Clarence Lee Middleton is 122 S Front St, Ellisville, MS and can be reached out via phone at 601-477-8587.

Location: 122 S Front St, Ellisville, MS, 39437-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043749070
Provider Name
Clarence Lee Middleton
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
122 S Front St, Ellisville, MS, 39437-3112
Phone Number
601-477-8587
Fax Number
Provider Enumeration Date
06/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
122 S Front St
City
Ellisville
State
Mississippi
Zip
39437-3118
Phone Number
601-477-8587
Fax Number
person
Provider Business Mailing Address Details
Address
122 S Front St
City
Ellisville
State
Mississippi
Zip
39437-3118
Phone Number
601-477-8587
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
T-13037 (Mississippi)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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