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Walton Frank Therrell, R.Ph.

Pharmacist in Ellisville, MS. Individual provider (NPI-1).

NPI number1376976845
StatusActive
Last updated in NPPESAug 19, 2013

Details

NPI
1376976845
Entity type
Individual (NPI-1)
Name
Walton Frank Therrell
Credential
R.Ph.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2013
Last updated
Aug 19, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistE6418MSYes

Practice location

915 Hill St
Ellisville, MS 39437-2419

Phone 601-477-3573

Mailing address

915 Hill St
Ellisville, MS 39437-2419

Phone 601-477-3573

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Ellisville, MS

All 5 Pharmacist providers in Ellisville · All 142 providers in Ellisville

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