Individual provider · Type 1 NPI

Clarence Lee Middleton, RPH

Pharmacy · Ellisville, MS

NPI number 1043749070 Active

Practice location

122 S Front St
Ellisville, MS 39437-3118

Mailing address

202 S Court St
Ellisville, MS 39437-3112

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XT-13037 (MS)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

2 other providers at this address

About NPI 1043749070

Clarence Lee Middleton, RPH's National Provider Identifier is 1043749070, issued on Jun 4, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Ellisville, MS. The record was last updated on Jun 4, 2017.