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Ellisville State School
Long Term Care Pharmacy in Ellisville, Mississippi
NPI 1578668901

Ellisville State School is a Long Term Care Pharmacy based in Ellisville, MS and is specialized in Long Term Care Pharmacy. Ellisville State School practices in Ellisville, MS. The NPI Number for Ellisville State School is 1578668901 and holds a License No. (Mississippi).

The current practice location address for Ellisville State School is 1101 Highway 11 S, Ellisville, MS and can be reached out via phone at 601-477-5785 and via fax at 601-477-5687.

Location: 1101 Highway 11 S, Ellisville, MS, 39437-4443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578668901
Provider Name
Ellisville State School
Credential
Provider Entity Type
Organization
Address
1101 Highway 11 S, Ellisville, MS, 39437-4443
Phone Number
601-477-5785
Fax Number
601-477-5687
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2050712 01 PK
00030384 05 MS
institution
Provider Business Practice Location Address Details
Address
1101 Highway 11 S
City
Ellisville
State
Mississippi
Zip
39437-4443
Phone Number
601-477-5785
Fax Number
601-477-5687
person
Provider Business Mailing Address Details
Address
1101 Highway 11 S
City
Ellisville
State
Mississippi
Zip
39437-4443
Phone Number
601-477-5785
Fax Number
601-477-5687
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
01185031 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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