| 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 |