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Ellis R Odom, RPH
Pharmacist in Poplar Bluff, Missouri
NPI 1457330219

Ellis R Odom is a Pharmacist based in Poplar Bluff, MO. Ellis R Odom practices in Poplar Bluff, MO and has the professional credentials of RPH. The NPI Number for Ellis R Odom is 1457330219 and holds a License No. 042673 (Missouri).

The current practice location address for Ellis R Odom is 686 Lester St, Poplar Bluff, MO and can be reached out via phone at 573-686-2411 and via fax at 573-686-8452.

Location: 686 Lester St, Poplar Bluff, MO, 63902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457330219
Provider Name
Ellis R Odom
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
686 Lester St, Poplar Bluff, MO, 63902
Phone Number
573-686-2411
Fax Number
573-686-8452
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
686 Lester St
City
Poplar Bluff
State
Missouri
Zip
63901-5025
Phone Number
573-686-2411
Fax Number
573-686-8452
person
Provider Business Mailing Address Details
Address
686 Lester St
City
Poplar Bluff
State
Missouri
Zip
63901-5025
Phone Number
573-686-2411
Fax Number
573-686-8452
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
042673 (Missouri)
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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