Organization
ELLISVILLE STATE SCHOOL
Active
Other names
ELLISVILLE STATE SCHOOL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI WELCH RPH (PHCY DIR)
(601) 477-5784
Entity
Organization
Contact information
Practice address
1101 HIGHWAY 11 S, ELLISVILLE, MS 39437-4443
(601) 477-5785
(601) 477-5687
Mailing address
1101 HIGHWAY 11 S, ELLISVILLE, MS 39437-4443
(601) 477-5785
(601) 477-5687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
01185031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030384
—
MS
01
—
2050712
PK
—
Enumeration date
09/13/2006
Last updated
12/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us