Individual
PATRI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
403 S CHURCH AVE, LOUISVILLE, MS 39339-2921
(662) 773-7847
(662) 773-7844
Mailing address
403 S CHURCH AVE, LOUISVILLE, MS 39339-2921
(662) 773-7847
(662) 773-7844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
01826/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030300
—
MS
01
—
2514063
NABP NUMBER
MS
Enumeration date
10/12/2006
Last updated
03/07/2023
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