Mr Ellis Rodney Derouen, RPH | |
1010 W Bluff St, Woodville, TX 75979-4736 | |
(409) 283-3073 | |
(409) 283-2159 |
Full Name | Mr Ellis Rodney Derouen |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 1010 W Bluff St, Woodville, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033269568 | NPI | - | NPPES |
143652 | Medicaid | TX | |
4582664 | Other | TX | NCPDP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 15009 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Ellis Rodney Derouen, RPH 204 Kelley Blvd, Woodville, TX 75979-4714 Ph: (409) 283-5487 | Mr Ellis Rodney Derouen, RPH 1010 W Bluff St, Woodville, TX 75979-4736 Ph: (409) 283-3073 |
Kurian Abraham, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 115 Cobb Mill Rd, Woodville, TX 75979 Phone: 409-283-3701 | |
Arton Nelson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 115 Cobb Mill Rd, Woodville, TX 75979 Phone: 409-283-3701 |