Individual provider · Type 1 NPI

Ellis R. Odom, RPH

Pharmacist · Poplar Bluff, MO

NPI number 1457330219 Active

Practice location

686 Lester St
Poplar Bluff, MO 63901-5025

Call (573) 686-2411 Map

Fax (573) 686-8452

Mailing address

PO Box 220
Poplar Bluff, MO 63902

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X042673 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1457330219

Ellis R. Odom, RPH's National Provider Identifier is 1457330219, issued on Jan 11, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jul 13, 2026.